67D-16426-58641
2 vaccinations
5 coded responses
7 check-ins
5 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 21-25
- ZIP prefix
- 921 / CA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Pfizer-BioNTech
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2021-03-18
Dose 2 — Pfizer-BioNTech
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2021-03-19
Registered in v-safe
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Malaise, Pyrexia — Feeling: Good · HeadacheFree text: Accidentally used thermometer again after fever without cleaning it. Within a few hours started feeling unwell. Not sure how its possible.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Asthenopia, Blepharospasm, Eye pain — Feeling: Good · Headache, Muscle or body achesFree text: PAIN BEHIND EYES WHEN STRAINING EYES DOWNWARD. EYE TWITCHINGMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm, Eye pain, Ocular discomfort, Pre-existing disease — Feeling: FairFree text: TIME-CORRELATIVE EYE TWITCHING AND PAIN/DISCOMFORT BEHIND EYE. COMPLEX MEDICAL HISTORY.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm, Ocular discomfort — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Eye discomfort. Eyelid twitching is increasing in frequency.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 14, dose 2MedDRA: Anxiety, Stress — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Severe anxiety and mental stress. Likely unrelated to vaccine but figured Id mention it for surveillance and prevalence data.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Accidentally used thermometer again after fever without cleaning it. Within a few hours started feeling unwell. Not sure how its possible.
Systemic reaction (other): PAIN BEHIND EYES WHEN STRAINING EYES DOWNWARD. EYE TWITCHING
Systemic reaction (other): TIME-CORRELATIVE EYE TWITCHING AND PAIN/DISCOMFORT BEHIND EYE. COMPLEX MEDICAL HISTORY.
Systemic reaction (other): Eye discomfort. Eyelid twitching is increasing in frequency.
Release 6 — day 14, dose 2
Symptoms: Severe anxiety and mental stress. Likely unrelated to vaccine but figured Id mention it for surveillance and prevalence data.
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Stress | ✓ | ✓ | ✓ |
| SRO | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Blepharospasm | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Ocular discomfort | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release