4AQ-11366-40577
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 531 / WI
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-07
Dose 1 — Pfizer-BioNTech
-
2021-02-02
Dose 2 — Pfizer-BioNTech
-
2021-02-22
Registered in v-safe
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2021-02-22
Survey response — day 14, dose 2MedDRA: Conjunctivitis, Eye pain, Lacrimation increased, Office visit, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Pink eye after 1st and 2nd covid vaccination with pain in my eyes. Went to UC and gave me medication for pick eye. Eyes are continuing to water and hurt. 3 days after 1st vaccine had a late immune reponse and they had me get tested for covid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-24
Survey response — day 21, dose 2MedDRA: Lacrimation increased, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Eyes very watery and itchy post 22 days vaccination. Seeing eye doctor today. · Healthcare visit (other): TodayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-02
Survey response — day 28, dose 2MedDRA: Dry eye, Lacrimation increased, Office visit, Ophthalmological examination, Ophthalmological examination abnormal, Photophobia, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Eye dr exam. Light sensitive, blurry vision, excessive tearing. Upon exam showed extremely dry eyes. Changed drops and gave me cloths to wipe eyes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-11
- 2021-03-16
- 2021-05-04
- 2021-07-30
- 2021-08-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Pfizer-BioNTech | |
| 2 | 2021-02-02 | Pfizer-BioNTech |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 2
Symptoms: Pink eye after 1st and 2nd covid vaccination with pain in my eyes. Went to UC and gave me medication for pick eye. Eyes are continuing to water and hurt. 3 days after 1st vaccine had a late immune reponse and they had me get tested for covid.
Release 4 — day 21, dose 2
Symptoms: Eyes very watery and itchy post 22 days vaccination. Seeing eye doctor today.
Healthcare visit (other): Today
Release 4 — day 28, dose 2
Symptoms: Eye dr exam. Light sensitive, blurry vision, excessive tearing. Upon exam showed extremely dry eyes. Changed drops and gave me cloths to wipe eyes.
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Conjunctivitis | ✓ | ✓ | ✓ |
| SD | Dry eye | ✓ | ✓ | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Ophthalmological examination | ○ | ✓ | ○ |
| SD | Ophthalmological examination abnormal | ✓ | · | ○ |
| SD | Photophobia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release