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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

  1. 2020-12-18
    Dose 1 — Pfizer-BioNTech
  2. 2020-12-24
    Registered in v-safe
  3. 2020-12-27
    Survey response — day 7, dose 1
    MedDRA: 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 visit
    Free 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 you
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-27
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-01-10
  6. 2021-01-14
  7. 2021-01-17

Vaccinations

DoseDateManufacturerCo-administered
12020-12-18Pfizer-BioNTech

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 1 — day 7, dose 1

2020-12-27

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

FieldPreferred term2021-092023-042024-11
SROBurning sensation ✓ ✓ ✓
SROEmergency care ✓ ✓ ✓
SROOphthalmic herpes zoster ✓ ✓ ✓
SRORash ✓ ✓ ✓

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