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6V3-10058-08423

2 vaccinations 4 coded responses 9 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
641 / MO
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-09
    Registered in v-safe
  3. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-15
    Survey response — day 7, dose 1
    MedDRA: Ocular discomfort — Feeling: Good · Be unable to do your normal daily activities
    Free text: My eyes were light sensitive and itchy about a week before I got my Covid vaccine. I had some perscription eye drops with predesone and antibiotic in them. I used for two dsys then stopped and my eyes cleared up. Two days later I got my Covid shot. Three days ago my eyes started bothering me agsin, but this time it feels different. Almost like I have poison ivy in and around my eyes. Can this be caused by either Covid or by the vaccine?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-22
    Survey response — day 14, dose 1
    MedDRA: Eyelid rash, Photophobia, Rash — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Eyes became light sensitive and the skin on my eye lids got a rash. Now the skin on one of my forearms has a rash. Looks a little like poison ivy but cant think where I could have gotten it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-29
    Survey response — day 21, dose 1
    MedDRA: Dermatitis contact — Feeling: Fair
    Free text: Poison Ivy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-05
    Dose 2 — Pfizer-BioNTech
  10. 2021-05-20
    Survey response — day 14, dose 2
    MedDRA: Cough, Dyspnoea, Fatigue, Hypersensitivity, Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Like a bad cold or allergies. Cough and tired. A little short of breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-08-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-11-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-08Pfizer-BioNTech
22021-05-05Pfizer-BioNTech

Free text

Release 7 — day 7, dose 1

2021-04-15

Systemic reaction (other): My eyes were light sensitive and itchy about a week before I got my Covid vaccine. I had some perscription eye drops with predesone and antibiotic in them. I used for two dsys then stopped and my eyes cleared up. Two days later I got my Covid shot. Three days ago my eyes started bothering me agsin, but this time it feels different. Almost like I have poison ivy in and around my eyes. Can this be caused by either Covid or by the vaccine?

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Eyes became light sensitive and the skin on my eye lids got a rash. Now the skin on one of my forearms has a rash. Looks a little like poison ivy but cant think where I could have gotten it.

Release 8 — day 21, dose 1

2021-04-29

Symptoms: Poison Ivy

Release 8 — day 14, dose 2

2021-05-20

Symptoms: Like a bad cold or allergies. Cough and tired. A little short of breath.

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ ✓ ✓
SDDermatitis contact ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDEyelid rash ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDPhotophobia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROOcular discomfort ✓ ✓ ✓

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