5G7-86289-37372

3 vaccinations 4 coded responses 18 check-ins 4 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 949 / CA
Registered: 2021-02-22

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-21
Dose 1 — Pfizer-BioNTech
2021-02-22
Registered in v-safe
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Pfizer-BioNTech
2021-03-13
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Vision blurred — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eye pain; blurred vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 7, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Survey response — day 14, dose 2
MedDRA: Aneurysm, Blood pressure increased, Eye pain, Fatigue, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Possible Third Nerve Palsy - major pain in right eye with eye lid staying closed. Major tiredness, elevated blood pressure. Angiogram shows very small aneurysm. · Healthcare visit (other): MRI, CT scan, Ultrasound, Angiogram with contrast, testing with Ophthalmologist, NEXT week will see Neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Emergency care — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Increased severe pain in right eye with eyelid remaining closed; THIRD NERVE PALSY possibly triggered by second Pfizer vaccine. Light sensitivity; extreme tiredness; at times a tight chest; high blood pressure & some disorientation and balance. · Healthcare visit (other): MRI; CT Scan; Ultrasound; CRP; Labs/blood work; Angiogram with contrast; Ophthalmologist & Neurologist visits in addition to an emergency room. Possible need to get an MRI with contrast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Diagnosis of Third Nerve Palsy from Ophthalmologist & Neurologist. Extreme tiredness causing a lot more sleep, unsteady balance, difficulty recalling/responding to known information, some labored breathing with tightness in upper chest. · Healthcare visit (other): After being diagnosed with high blood pressure three-ish weeks ago along with tightness in upper chest, there was fear of heart complications.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-06-10
Call 1 — Left Voicemail
2021-06-15
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-21
Call 2 — Could Not Reach Participant
2021-09-15
Dose 3 — Pfizer-BioNTech
Co-administered: yes

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-21	Pfizer-BioNTech
2	2021-03-13	Pfizer-BioNTech
3	2021-09-15	Pfizer-BioNTech	Yes

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Eye pain; blurred vision

Release 6 — day 14, dose 2

2021-03-28

Symptoms: Possible Third Nerve Palsy - major pain in right eye with eye lid staying closed. Major tiredness, elevated blood pressure. Angiogram shows very small aneurysm.

Healthcare visit (other): MRI, CT scan, Ultrasound, Angiogram with contrast, testing with Ophthalmologist, NEXT week will see Neurologist

Release 6 — day 21, dose 2

2021-04-03

Symptoms: Increased severe pain in right eye with eyelid remaining closed; THIRD NERVE PALSY possibly triggered by second Pfizer vaccine. Light sensitivity; extreme tiredness; at times a tight chest; high blood pressure & some disorientation and balance.

Healthcare visit (other): MRI; CT Scan; Ultrasound; CRP; Labs/blood work; Angiogram with contrast; Ophthalmologist & Neurologist visits in addition to an emergency room. Possible need to get an MRI with contrast

Release 7 — day 28, dose 2

2021-04-11

Symptoms: Diagnosis of Third Nerve Palsy from Ophthalmologist & Neurologist. Extreme tiredness causing a lot more sleep, unsteady balance, difficulty recalling/responding to known information, some labored breathing with tightness in upper chest.

Healthcare visit (other): After being diagnosed with high blood pressure three-ish weeks ago along with tightness in upper chest, there was fear of heart complications.

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	Emergency care	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pre-existing disease	✓	✓	✓
SD	Aneurysm	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release