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Z8J-23418-01966

1 vaccination 1 coded response 4 check-ins 1 free-text entry 0 call cases
Sex
—
Age at first dose
66+
ZIP prefix
989 / WA
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Monoplegia, Pain, Transient ischaemic attack — Feeling: Good · Site: Pain · Joint pains
    Free text: 48 hrs post shot the arm injected became partially paralyzed. I was unable to move ring/little finger and arm was barel able to hold itself up unaided. I was admitted to hospital per recommendation of neurologist and discgarged with dx of TIA as symptoms gradually disappeared. Currently my shoulder is quite painful and some movements give excruciating . My body worker friend says she believes i have SERVA as symptoms certainly fit a nd person who gave shot was not a rn or other trained professional.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  5. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2022-01-30
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Pfizer-BioNTech

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): 48 hrs post shot the arm injected became partially paralyzed. I was unable to move ring/little finger and arm was barel able to hold itself up unaided. I was admitted to hospital per recommendation of neurologist and discgarged with dx of TIA as symptoms gradually disappeared. Currently my shoulder is quite painful and some movements give excruciating . My body worker friend says she believes i have SERVA as symptoms certainly fit a nd person who gave shot was not a rn or other trained professional.

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
SROArthralgia ✓ ✓ ✓
SROMonoplegia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROTransient ischaemic attack ✓ ✓ ✓

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