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Y4Y-18067-41076

2 vaccinations 4 coded responses 18 check-ins 4 free-text entries 3 call cases
Sex
Male
Age at first dose
31-35
ZIP prefix
191 / PA
Registered
2020-12-19
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-18
    Dose 1 — Pfizer-BioNTech
  2. 2020-12-19
    Registered in v-safe
  3. 2020-12-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Reaction to previous exposure to any vaccine — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I had moderate numbness in my left arm, left leg, and left jaw for about an hour after getting the vaccine; self resolved. I have had this with Gardasil dose 2 and 3 before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-19
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2020-12-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: COVID-19 — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: I didn't mention this in my check in from yesterday but I also recently had COVID infection so I wonder if my side effects from yesterday were more severe than typically reported due to that fact
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2020-12-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2020-12-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2020-12-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-08
    Dose 2 — Pfizer-BioNTech
  11. 2021-01-08
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-01-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Confusional state, Disorientation, Headache, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral, Pyrexia, Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Headache, confusion/disorientation when I was having a fever yesterday. Also on the day of my shot I had unilateral numbness and tingling on my left face, mouth, arm, and leg · Healthcare visit (other): I got a fluid bolus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-01-10
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-01-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dehydration, Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Feeling very dehydrated · Healthcare visit (other): I got a litre of fluids
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-14
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-01-15
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-01-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-01-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-19
  23. 2021-04-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-01-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-18Pfizer-BioNTech
22021-01-08Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2020-12-19 Unsuccessful
2021-01-10 Unsuccessful
2021-01-14 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-19

Systemic reaction (other): I had moderate numbness in my left arm, left leg, and left jaw for about an hour after getting the vaccine; self resolved. I have had this with Gardasil dose 2 and 3 before.

2020-12-20

Systemic reaction (other): I didn't mention this in my check in from yesterday but I also recently had COVID infection so I wonder if my side effects from yesterday were more severe than typically reported due to that fact

Release 1 — days 1–6 daily, dose 2

2021-01-10

Systemic reaction (other): Headache, confusion/disorientation when I was having a fever yesterday. Also on the day of my shot I had unilateral numbness and tingling on my left face, mouth, arm, and leg
Healthcare visit (other): I got a fluid bolus

Release 2 — days 1–6 daily, dose 2

2021-01-14

Systemic reaction (other): Feeling very dehydrated
Healthcare visit (other): I got a litre of fluids

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SROConfusional state ✓ ✓ ✓
SROCOVID-19 ✓ ✓ ✓
SRODehydration ✓ ✓ ✓
SRODisorientation ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROReaction to previous exposure to any vaccine ✓ ✓ ✓
SROUnevaluable event ○ ○ ○

✓ active code · ○ coded but marked inactive · blank = not in that release