482-33860-61459
1 vaccination
3 coded responses
4 check-ins
3 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 920 / CA
- Registered
- 2021-10-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-09-13
Dose 1 — Pfizer-BioNTech
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2021-10-03
Registered in v-safe
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2021-10-03
Survey response — day 14, dose 1MedDRA: Myocarditis, Office visit, Retinal haemorrhage, Vitreous detachment, Vitreous floaters — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 1 hour after dose Sept 13 I had myocarditis issues that lasted one week. On Sept 26 developed floaters and specialist said Posterier Vitreous Detachment with some retinal bleeding and possible retinal tear soon.MedDRA releases: 2024-11 · check-in free text available
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2021-10-03
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-04
Survey response — day 21, dose 1MedDRA: Eye inflammation, Eye pain — Feeling: PoorFree text: Eye hurts more. Eye inflammation. Why were these symptoms of the vaccine not advertised? https://www.ehealthme.com/vs/pfizer-biontech-covid-vaccine/retinal-detachment/ https://assets.publishing.service.gov.uk/government/uploads/system/uploads/aMedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Survey response — day 28, dose 1MedDRA: Chest discomfort, Chest pain, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest has started hurting again feels a bit tight wondering if myocarditis is coming back. My PVD eye issue still bleeding retinal area but not retinal tear. Doc has me carefully watching it and seeing specialist frequently. 1000% think vax relatedMedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-12
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-13 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 9 — day 14, dose 1
Symptoms: 1 hour after dose Sept 13 I had myocarditis issues that lasted one week. On Sept 26 developed floaters and specialist said Posterier Vitreous Detachment with some retinal bleeding and possible retinal tear soon.
Release 10 — day 21, dose 1
Symptoms: Eye hurts more. Eye inflammation. Why were these symptoms of the vaccine not advertised? https://www.ehealthme.com/vs/pfizer-biontech-covid-vaccine/retinal-detachment/ https://assets.publishing.service.gov.uk/government/uploads/system/uploads/a cut off by CDC
Release 10 — day 28, dose 1
Symptoms: Chest has started hurting again feels a bit tight wondering if myocarditis is coming back. My PVD eye issue still bleeding retinal area but not retinal tear. Doc has me carefully watching it and seeing specialist frequently. 1000% think vax related cut off by CDC
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 |
|---|---|---|---|---|
| SD | Chest discomfort | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Eye inflammation | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Myocarditis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Retinal haemorrhage | · | · | ✓ |
| SD | Vitreous detachment | · | · | ✓ |
| SD | Vitreous floaters | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release