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363-21082-00015

3 vaccinations 7 coded responses 26 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
967 / HI
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
JHG-66240-95591 Child or adolescent in my care · Female · 2022-06-20

Timeline

  1. 2021-01-07
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-08
    Registered in v-safe
  3. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: eye pain, hard to look at screens for prolonged periods of time
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-08
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pruritus — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Itchy eye on the side where i got the shot, but inproved compared to eye pain on that side the first two days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  10. 2021-01-14
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-01-21
    Survey response — day 14, dose 1
    MedDRA: Dysphonia, Headache, Oropharyngeal pain — Feeling: Good
    Free text: Sore throat & voice changes plus mild headache yesterday afternoon & evening.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-29
    Dose 2 — Pfizer-BioNTech
  14. 2021-01-29
    Survey response — day 0, dose 2
    MedDRA: Abnormal sensation in eye — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Free text: Poking sensation in the back of both my eyeballs--had the same sensation in one eye on the side i got my shot the first tome around
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  16. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  20. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  21. 2021-02-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-12
    Survey response — day 42, dose 2
    MedDRA: Eye pain, Migraine — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Migraine, feels like what i felt after my first shot with eye pain on the same side as i got the injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-04-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-20
    Dose 3 — Pfizer-BioNTech
  30. 2022-01-29
    Survey response — 12 months, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Fatigue. Not necessarily vaccine related.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-10-22
    Survey response — 12 months, dose 3
    MedDRA: Malaise, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to do your normal daily activities
    Free text: Probably really bad viral illness i got from my daughter that took a few weeks to fully go away. Happened to be starting the day i went to get my flu shot & bivalent covid booster. We both tested negative for covid while sick.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Pfizer-BioNTech
22021-01-29Pfizer-BioNTech
32021-10-20Pfizer-BioNTech No

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): eye pain, hard to look at screens for prolonged periods of time

2021-01-09

Systemic reaction (other): Itchy eye on the side where i got the shot, but inproved compared to eye pain on that side the first two days

Release 2 — day 14, dose 1

2021-01-21

Symptoms: Sore throat & voice changes plus mild headache yesterday afternoon & evening.

Release 3 — day 0, dose 2

2021-01-29

Systemic reaction (other): Poking sensation in the back of both my eyeballs--had the same sensation in one eye on the side i got my shot the first tome around

Release 5 — day 42, dose 2

2021-03-12

Symptoms: Migraine, feels like what i felt after my first shot with eye pain on the same side as i got the injection.

Release 11 — 12 months, dose 2

2022-01-29

Symptoms: Fatigue. Not necessarily vaccine related.

Release 12 — 12 months, dose 3

2022-10-22

Symptoms: Probably really bad viral illness i got from my daughter that took a few weeks to fully go away. Happened to be starting the day i went to get my flu shot & bivalent covid booster. We both tested negative for covid while sick.

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
SDDysphonia ✓ ✓ ✓
SDEye pain ✓ ✓ ✓
SDFatigue · · ✓
SDHeadache ✓ ✓ ✓
SDMalaise · · ✓
SDMigraine ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SDViral infection · · ✓
SROAbnormal sensation in eye ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROEye pruritus ✓ ✓ ✓

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