5SG-12718-10674
2 vaccinations
1 coded response
14 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 386 / MS
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Pfizer-BioNTech
-
2021-04-15
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-17
- 2021-04-19
- 2021-04-21
- 2021-04-24
- 2021-04-29
-
2021-05-06
Dose 2 — Pfizer-BioNTech
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-08-05
-
2021-11-04
Survey response — 6 months, dose 2MedDRA: Eye pruritus, Eye swelling, Eyelid margin crusting, Ocular hyperaemia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My eyes Had become red swollen and itchy for a long time. eye drops didn't help and every morning they would be crusted closed. it was not pink eye.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-05
-
2021-11-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Pfizer-BioNTech | |
| 2 | 2021-05-06 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-04 | Successful 2021-11-12 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — 6 months, dose 2
Symptoms: My eyes Had become red swollen and itchy for a long time. eye drops didn't help and every morning they would be crusted closed. it was not pink eye.
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 |
|---|---|---|---|---|
| SD | Eye pruritus | · | · | ✓ |
| SD | Eye swelling | · | · | ✓ |
| SD | Eyelid margin crusting | · | · | ✓ |
| SD | Ocular hyperaemia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release