5LR-33911-26191

4 vaccinations 10 coded responses 23 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 481 / MI
Registered: 2021-01-02

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-02
Registered in v-safe
2021-01-02
Dose 1 — Pfizer-BioNTech
2021-01-02
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tiredness

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Sleep disorder — Feeling: Good

Free text: Tenderness at injection site if pressed upon. I can't sleep on that side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-23
Dose 2 — Pfizer-BioNTech
2021-01-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Eye swelling, Ocular hyperaemia, Self-medication, Swelling face — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Had my injection at 11:40 yesterday. At 8:00 I noticed my eyes were red and slightly swollen especially side of injection site. I took 2 Benadryl. In few hours I took 2 more. I took 2 Benadryl this morning and will take 2 more after I eat. Eyes and face have tight feeling. My left eye is just slightly swollen now not red.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache, Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-20
Survey response — day 28, dose 2
MedDRA: Dry eye, Eye swelling — Feeling: Good

Free text: I don't know if it's from the vaccine. Ever since the vaccine, I wake in the morning with dry stuff around my eyes. They seem slightly swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 35, dose 2
MedDRA: Ear pruritus, Eye swelling, Pre-existing disease — Feeling: Good

Free text: Could I be having an allergic reaction still? My eyes are slightly swollen and ears are itchy. I have allergies but never like this.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — day 42, dose 2
MedDRA: Eye infection, Eye swelling, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Stage 4+ infection both eyes from swelling caused by covid vaccine. · Healthcare visit (other): Eye specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Survey response — 3 months, dose 2
MedDRA: Eye infection, Eye swelling, Impaired healing, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I've had continued eye infections from my swollen eyes caused by the vaccine. · Healthcare visit (other): Dr for the eyes. Dr said I had a 4 plus infection in both eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-06
Dose 3 — Pfizer-BioNTech
2022-01-25
Survey response — 12 months, dose 2
MedDRA: Surgery, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus problems. I had to have surgery.

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-07-24
Dose 4 — Moderna
Co-administered: Pneumonia
2022-10-23
Survey response — 3 months, dose 4
MedDRA: Occupational therapy, Office visit, Tendon rupture — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Tendon tear in wrist · Healthcare visit (other): Orthopedic doctor and occupational therapist

MedDRA releases: 2024-11 · check-in free text available
2022-10-23
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-26
Call successful
Not applicable - Accidental Reporting
2023-01-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Pfizer-BioNTech
2	2021-01-23	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No
4	2022-07-24	Moderna	Pneumonia

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-02

Systemic reaction (other): No

Release 1 — days 1–6 daily, dose 1

2021-01-03

Systemic reaction (other): None

2021-01-04

Systemic reaction (other): Tenderness at injection site if pressed upon. I can't sleep on that side.

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Had my injection at 11:40 yesterday. At 8:00 I noticed my eyes were red and slightly swollen especially side of injection site. I took 2 Benadryl. In few hours I took 2 more. I took 2 Benadryl this morning and will take 2 more after I eat. Eyes and face have tight feeling. My left eye is just slightly swollen now not red.

Release 4 — day 28, dose 2

2021-02-20

Symptoms: I don't know if it's from the vaccine. Ever since the vaccine, I wake in the morning with dry stuff around my eyes. They seem slightly swollen.

Release 4 — day 35, dose 2

2021-02-27

Symptoms: Could I be having an allergic reaction still? My eyes are slightly swollen and ears are itchy. I have allergies but never like this.

Release 5 — day 42, dose 2

2021-03-06

Symptoms: Stage 4+ infection both eyes from swelling caused by covid vaccine.

Healthcare visit (other): Eye specialist

Release 7 — 3 months, dose 2

2021-04-24

Symptoms: I've had continued eye infections from my swollen eyes caused by the vaccine.

Healthcare visit (other): Dr for the eyes. Dr said I had a 4 plus infection in both eyes.

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Sinus problems. I had to have surgery.

Release 12 — 3 months, dose 4

2022-10-23

Symptoms: Tendon tear in wrist

Healthcare visit (other): Orthopedic doctor and occupational therapist

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	Eye infection	·	·	✓
HCVO	Occupational therapy	·	·	✓
HCVO	Office visit	✓	✓	✓
SD	Dry eye	✓	✓	✓
SD	Ear pruritus	✓	✓	✓
SD	Eye infection	✓	✓	✓
SD	Eye swelling	✓	✓	✓
SD	Impaired healing	✓	✓	○
SD	Pre-existing disease	✓	✓	✓
SD	Surgery	·	·	✓
SD	Tendon rupture	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Eye swelling	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Unevaluable event	○	○	○

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