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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

  1. 2021-09-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-09-07
    Registered in v-safe
  3. 2021-09-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Heart rate increased, Hypoaesthesia, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities
    Free 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 121
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-09-08
    Survey response — day 7, dose 1
    MedDRA: 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 visit
    Free 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 pressure
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-09-08
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-09-13
  7. 2021-09-15
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-09-16
    Call successful
    Participant prefers to complete VAERS report online
  9. 2021-09-22
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-09-29
    Dose 2 — Pfizer-BioNTech
  11. 2021-10-07
    Survey response — day 7, dose 2
    MedDRA: Adverse reaction, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Same as the first dose
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-10-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-11-11
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-12-29
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  15. 2022-04-01
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-09-01Pfizer-BioNTech No
22021-09-29Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-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

2021-09-07

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

2021-09-08

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

2021-10-07

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

FieldPreferred term2021-092023-042024-11
SROAdverse reaction · · ✓
SROBurning sensation · · ✓
SROHeart rate increased · · ✓
SROHypoaesthesia · · ✓
SROParaesthesia · · ✓
SROSkin burning sensation · · ✓
SROThroat tightness · · ✓
SROVaccine positive rechallenge · · ✓

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