4UU-10276-47744
4 vaccinations
5 coded responses
38 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 228 / VA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-14
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Survey response — day 42, single doseMedDRA: Cerebrovascular accident, Condition aggravated, Office visit, Pre-existing disease, Retinal vein occlusion, Visual impairment — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My eyesight got suddenly worse and looking at my eye compared to last visit, my eye doctor thinks I had a stroke. Could be related to diabetes ... the specialist says the vein going from the eye is blocked. With treatment, my eyesight should improve. · Healthcare visit (other): Went to see the ophthalmologist and then a retinal specialistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Report sent to call center — day 42, single doseBe unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-23
- 2021-06-04
- 2021-09-03
-
2021-10-23
Dose 2 — Pfizer-BioNTech
-
2021-10-31
Survey response — day 7, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: I have a coldMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
-
2022-04-23
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Fatigue — Feeling: PoorFree text: Extremely tired. Some diarrheaMedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Dose 3 — Pfizer-BioNTech
- 2022-05-01
- 2022-05-02
- 2022-05-04
-
2022-05-11
Survey response — day 14, dose 3MedDRA: Eye pruritus, Rhinorrhoea — Feeling: FairFree text: Itchy eyes, runny nose. I believe it is allergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
- 2022-05-27
- 2022-06-01
- 2022-06-08
- 2022-07-27
-
2022-09-22
Dose 4 — Pfizer-BioNTech
- 2022-10-10
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
-
2023-03-23
Survey response — 6 months, dose 4MedDRA: Fatigue, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-23 | Pfizer-BioNTech | No |
| 3 | 2022-04-27 | Pfizer-BioNTech | No |
| 4 | 2022-09-22 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 7 — day 42, single dose
Symptoms: My eyesight got suddenly worse and looking at my eye compared to last visit, my eye doctor thinks I had a stroke. Could be related to diabetes ... the specialist says the vein going from the eye is blocked. With treatment, my eyesight should improve. cut off by CDC
Healthcare visit (other): Went to see the ophthalmologist and then a retinal specialist
Release 10 — day 7, dose 2
Systemic reaction (other): I have a cold
Release 11 — 6 months, dose 2
Symptoms: Extremely tired. Some diarrhea
Release 11 — day 14, dose 3
Symptoms: Itchy eyes, runny nose. I believe it is allergies
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Cerebrovascular accident | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Retinal vein occlusion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release