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ZJE-30913-25294

2 vaccinations 1 coded response 7 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
840 / UT
Registered
2021-02-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
3PH-32897-27641 Child or adolescent in my care · Male · 2021-11-24
HTN-18383-01910 Child or adolescent in my care · Male · 2021-11-24

Timeline

  1. 2021-01-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-28
    Dose 2 — Pfizer-BioNTech
  3. 2021-02-08
    Registered in v-safe
  4. 2021-02-08
    Survey response — day 7, dose 2
    MedDRA: Feeling hot, Flank pain, Herpes zoster, Hypoaesthesia, Injection site pain, Medical counselling, Neuralgia, Office visit, Rash vesicular — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: After my 2nd dose on day 4 I broke out in a blister rash on my left side, had sharp, hot nerve pain on my left side since the day after my 2nd dose and then my left hand went numb. I called the health care dept in my area and they said to get ahold of my doctor but did not take my name or number. I was able to see my doctor on day 5 after the 2nd dose and he said that my body had such an immune response to the vaccine that it awakened my dormant chicken pox virus and that I had shingles. I am still suffering from the shingles, nerve pain, numbness on my left hand and my arm around my injection site is still painful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-08
    Report sent to call center — day 7, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-11
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  7. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-02-25
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-03-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-07-15
  12. 2022-01-28
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Pfizer-BioNTech
22021-01-28Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-02-08 Unsuccessful

Free text

Release 3 — day 7, dose 2

2021-02-08

Systemic reaction (other): After my 2nd dose on day 4 I broke out in a blister rash on my left side, had sharp, hot nerve pain on my left side since the day after my 2nd dose and then my left hand went numb. I called the health care dept in my area and they said to get ahold of my doctor but did not take my name or number. I was able to see my doctor on day 5 after the 2nd dose and he said that my body had such an immune response to the vaccine that it awakened my dormant chicken pox virus and that I had shingles. I am still suffering from the shingles, nerve pain, numbness on my left hand and my arm around my injection site is still painful.

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
SROFeeling hot ✓ ✓ ✓
SROFlank pain ✓ ✓ ✓
SROHerpes zoster ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMedical counselling ✓ ✓ ✓
SRONeuralgia ✓ ✓ ✓
SROOffice visit ✓ ✓ ✓
SRORash vesicular ✓ ✓ ✓

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