578-62488-05206
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 454 / OH
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Pfizer-BioNTech
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
-
2021-03-05
Dose 2 — Pfizer-BioNTech
- 2021-03-05
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster, Pain — Feeling: GoodFree text: I was diagnosed with shingles back in 2015. Late yesterday afternoon I experienced that familiar shingle burning pain in the area where I had shingles. The pain is gone today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-21
- 2021-03-29
- 2021-04-02
- 2021-04-09
-
2021-04-18
Survey response — day 42, dose 2MedDRA: Emergency care, Photopsia, Vision blurred, Visual impairment — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: some kind of event with left eye, blurred vision, dark spots and lateral light flashes when blinking. Went to ER yesterday. EKG, chest X-ray, CT OF Skull, bloodwork... nothing definitive diagnosed. Follow up w/ primary physician & ophthalmologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-06
Survey response — 3 months, dose 2MedDRA: Malignant melanoma, Surgery, Tenoplasty, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Not related to COVID Achilles tendon repairAnd melanoma surgically removed from scalp · Healthcare visit (other): SurgeryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-06
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-15
- 2021-09-03
- 2022-03-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Pfizer-BioNTech | |
| 2 | 2021-03-05 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I was diagnosed with shingles back in 2015. Late yesterday afternoon I experienced that familiar shingle burning pain in the area where I had shingles. The pain is gone today.
Release 7 — day 42, dose 2
Symptoms: some kind of event with left eye, blurred vision, dark spots and lateral light flashes when blinking. Went to ER yesterday. EKG, chest X-ray, CT OF Skull, bloodwork... nothing definitive diagnosed. Follow up w/ primary physician & ophthalmologist cut off by CDC
Release 8 — 3 months, dose 2
Symptoms: Not related to COVID Achilles tendon repairAnd melanoma surgically removed from scalp
Healthcare visit (other): Surgery
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 | Surgery | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ○ | ✓ | ○ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Malignant melanoma | ✓ | · | ✓ |
| SD | Photopsia | ✓ | ✓ | ✓ |
| SD | Surgery | ✓ | · | ✓ |
| SD | Tenoplasty | ✓ | · | ✓ |
| SD | Unevaluable event | ○ | ✓ | ○ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release