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
-
2021-01-06
Dose 1 — Pfizer-BioNTech
-
2021-01-28
Dose 2 — Pfizer-BioNTech
-
2021-02-08
Registered in v-safe
-
2021-02-08
Survey response — day 7, dose 2MedDRA: 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 visitFree 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
-
2021-02-08
Report sent to call center — day 7, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-07-15
- 2022-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Pfizer-BioNTech | |
| 2 | 2021-01-28 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-08 | Unsuccessful |
Free text
Release 3 — day 7, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Flank pain | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Rash vesicular | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release