49L-33994-81172
2 vaccinations
8 coded responses
21 check-ins
8 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-03
Registered in v-safe
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2021-02-03
Dose 1 — Pfizer-BioNTech
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2021-02-03
Survey response — day 0, dose 1MedDRA: Ear discomfort, Ear swelling — Feeling: Good · Headache · Be unable to do your normal daily activitiesFree text: Left ear is clogged and swillingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Eye discharge, Visual impairment — Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to workFree text: My eyes continue to drain impairing visionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Ear discomfort, Eye discharge, Headache, Lacrimation increased, Ocular discomfort, Respiratory tract congestion — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Head is all stuffed up... pressure in my ears and behind my eyes. My eyes continue to water and discharge a puss like substance. Headaches last night and today were more severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Ear discomfort, Eye discharge, Head discomfort, Ocular discomfort — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Plugged head pressure in eyes and ears. Eyes discharging puss like emissionsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Eye discharge — Feeling: Fair · Headache, Joint pains, Fatigue or tirednessFree text: Eyes still dischargingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Eye discharge — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Eyes still discharging fluidsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — day 7, dose 1MedDRA: Eye discharge — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Eyes discharging fluidsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
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2021-02-24
Dose 2 — Pfizer-BioNTech
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness, NauseaAdult check-in
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Ageusia — Feeling: Good · Fatigue or tirednessFree text: Loss of tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-12
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Pfizer-BioNTech | |
| 2 | 2021-02-24 | Pfizer-BioNTech |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Left ear is clogged and swilling
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): My eyes continue to drain impairing vision
Systemic reaction (other): Head is all stuffed up... pressure in my ears and behind my eyes. My eyes continue to water and discharge a puss like substance. Headaches last night and today were more severe.
Systemic reaction (other): Plugged head pressure in eyes and ears. Eyes discharging puss like emissions
Systemic reaction (other): Eyes still discharging
Systemic reaction (other): Eyes still discharging fluids
Release 4 — day 7, dose 1
Systemic reaction (other): Eyes discharging fluids
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of taste
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 | Ageusia | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Ear swelling | ✓ | ✓ | ✓ |
| SRO | Eye discharge | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Ocular discomfort | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release