5GL-99517-85502
1 vaccination
5 coded responses
11 check-ins
5 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 370 / TN
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-07
Dose 1 — Pfizer-BioNTech
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2021-03-12
Registered in v-safe
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Diplopia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Third morning after shot I woke with double vision.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Diplopia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still having double vision.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — day 7, dose 1MedDRA: Diplopia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still have double vision.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — day 14, dose 1MedDRA: Diplopia, Headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Double vision is causing headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-04-18
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2021-06-06
Survey response — 3 months, dose 1MedDRA: Diplopia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I woke with double vision the third morning after receiving the Phizer shot. About ten weeks later I began regaining my normal vision. Now two weeks later almost full recovery. I believe the problem was due to receiving the shot. · Healthcare visit (other): Appointments with ophthalmologist and nuro ophthalmologist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-06
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-05
- 2021-12-20
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Pfizer-BioNTech |
Call center
3 call center cases
3 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Third morning after shot I woke with double vision.
Systemic reaction (other): Still having double vision.
Release 5 — day 7, dose 1
Systemic reaction (other): Still have double vision.
Release 6 — day 14, dose 1
Symptoms: Double vision is causing headaches.
Release 8 — 3 months, dose 1
Symptoms: I woke with double vision the third morning after receiving the Phizer shot. About ten weeks later I began regaining my normal vision. Now two weeks later almost full recovery. I believe the problem was due to receiving the shot.
Healthcare visit (other): Appointments with ophthalmologist and nuro ophthalmologist.
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 | Diplopia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Diplopia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release