3QD-18123-75065
1 vaccination
1 coded response
1 check-in
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 077 / NJ
- Registered
- 2020-12-24
- Relationship
- Self
Timeline
-
2020-12-18
Dose 1 — Pfizer-BioNTech
-
2020-12-24
Registered in v-safe
-
2020-12-27
Survey response — day 7, dose 1MedDRA: Burning sensation, Emergency care, Ophthalmic herpes zoster, Rash — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Yes, 3-5days after my shot, I experienced a rash around my eye, that was painful & burning, I reported to the emergency room on Thursday 12/24, diagnosed w/shingles/herpes zoster, which I've never had before, so I'm just suspicious if that could have been a result of my first dose of the covid vaccine, I was prescribed medicine for the diagnosed virus, and I also have appointment w/ophthalmologist on Monday 12/28, to examine the affected eye. Thank youMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-27
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-10
- 2021-01-14
- 2021-01-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Yes, 3-5days after my shot, I experienced a rash around my eye, that was painful & burning, I reported to the emergency room on Thursday 12/24, diagnosed w/shingles/herpes zoster, which I've never had before, so I'm just suspicious if that could have been a result of my first dose of the covid vaccine, I was prescribed medicine for the diagnosed virus, and I also have appointment w/ophthalmologist on Monday 12/28, to examine the affected eye. Thank you
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 | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Ophthalmic herpes zoster | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release