Z6M-26025-01415
2 vaccinations
3 coded responses
9 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 256 / WV
- Registered
- 2021-09-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
8NQ-12323-00913
Other · Male · 2021-09-07
Timeline
-
2021-09-01
Dose 1 — Pfizer-BioNTech
-
2021-09-07
Registered in v-safe
-
2021-09-07
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased, Hypoaesthesia, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My legs feet hands and arms are feeling tingling numb and burning now the left side of my face is starting the same thing and my heart rate is up to 121MedDRA releases: 2024-11 · check-in free text available
-
2021-09-08
Survey response — day 7, dose 1MedDRA: Burning sensation, Hypoaesthesia, Paraesthesia, Skin burning sensation, Throat tightness — Feeling: Poor · Headache, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My legs hands feels and arms are still having the burning the tingling and the numbness in them its worse today than yesterday the left side of my face is also doing the same feels like someone is on each side of my throat applying pressureMedDRA releases: 2024-11 · check-in free text available
-
2021-09-08
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-13
- 2021-09-15
-
2021-09-16
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-22
-
2021-09-29
Dose 2 — Pfizer-BioNTech
-
2021-10-07
Survey response — day 7, dose 2MedDRA: Adverse reaction, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Same as the first doseMedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-11-11
- 2021-12-29
- 2022-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-01 | Pfizer-BioNTech | No |
| 2 | 2021-09-29 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-08 | Successful 2021-09-16 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): My legs feet hands and arms are feeling tingling numb and burning now the left side of my face is starting the same thing and my heart rate is up to 121
Release 9 — day 7, dose 1
Systemic reaction (other): My legs hands feels and arms are still having the burning the tingling and the numbness in them its worse today than yesterday the left side of my face is also doing the same feels like someone is on each side of my throat applying pressure
Release 10 — day 7, dose 2
Systemic reaction (other): Same as the first dose
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Burning sensation | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Skin burning sensation | · | · | ✓ |
| SRO | Throat tightness | · | · | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release