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ZQH-20340-90248

1 vaccination 9 coded responses 9 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
148 / NY
Registered
2021-05-27
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-27
    Registered in v-safe
  2. 2021-05-27
    Dose 1 — Pfizer-BioNTech
  3. 2021-05-27
    Survey response — day 0, dose 1
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: numbness and tingling in left hand, left arm, left side of face, left side of neck, left pelvis, and left leg
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities
    Free text: numbness in left face, left neck, left arm and hand, left pelvis, left leg (injection site was left deltoid)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: numbness around left side of face, left side of neck, left shoulder, left arm, left hand, down left side of body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Hypoaesthesia — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Free text: dizziness. i never feel dizzy or have a headache. also, the numbness on the left side of my face, neck, shoulder, arm, side of body, pelvis and leg continues.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Headache, Nausea, Vomiting · Be unable to do your normal daily activities
    Free text: numbness on left side of face, left neck, left shoulder, left arm, left hip, left pelvis, left leg
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Free text: numbness on left side of face, left neck, left arm, left shoulder, left side of body, left hip, left pelvis, left leg.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-06-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: numbness on left side of my face, left side of my neck, left shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-04
    Survey response — day 7, dose 1
    MedDRA: Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: numbness in left side of face, left neck, left shoulder
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-10
    Survey response — day 14, dose 1
    MedDRA: Inflammation, Lethargy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: lethargy, inflammation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-05-27Pfizer-BioNTech

Free text

Release 8 — day 0, dose 1

2021-05-27

Systemic reaction (other): numbness and tingling in left hand, left arm, left side of face, left side of neck, left pelvis, and left leg

Release 8 — days 1–6 daily, dose 1

2021-05-28

Systemic reaction (other): numbness in left face, left neck, left arm and hand, left pelvis, left leg (injection site was left deltoid)

2021-05-29

Systemic reaction (other): numbness around left side of face, left side of neck, left shoulder, left arm, left hand, down left side of body

2021-05-30

Systemic reaction (other): dizziness. i never feel dizzy or have a headache. also, the numbness on the left side of my face, neck, shoulder, arm, side of body, pelvis and leg continues.

2021-05-31

Systemic reaction (other): numbness on left side of face, left neck, left shoulder, left arm, left hip, left pelvis, left leg

2021-06-01

Systemic reaction (other): numbness on left side of face, left neck, left arm, left shoulder, left side of body, left hip, left pelvis, left leg.

2021-06-02

Systemic reaction (other): numbness on left side of my face, left side of my neck, left shoulder

Release 8 — day 7, dose 1

2021-06-04

Systemic reaction (other): numbness in left side of face, left neck, left shoulder

Release 9 — day 14, dose 1

2021-06-10

Symptoms: lethargy, inflammation

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
SDInflammation ✓ ✓ ✓
SDLethargy ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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

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