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
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2021-04-08
Dose 1 — Pfizer-BioNTech
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2021-04-09
Registered in v-safe
- 2021-04-09
- 2021-04-10
- 2021-04-11
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2021-04-15
Survey response — day 7, dose 1MedDRA: Ocular discomfort — Feeling: Good · Be unable to do your normal daily activitiesFree 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
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2021-04-22
Survey response — day 14, dose 1MedDRA: Eyelid rash, Photophobia, Rash — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-04-29
Survey response — day 21, dose 1MedDRA: Dermatitis contact — Feeling: FairFree text: Poison IvyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Dose 2 — Pfizer-BioNTech
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2021-05-20
Survey response — day 14, dose 2MedDRA: Cough, Dyspnoea, Fatigue, Hypersensitivity, Nasopharyngitis — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
- 2021-08-04
- 2021-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-05-05 | Pfizer-BioNTech |
Free text
Release 7 — day 7, dose 1
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
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
Symptoms: Poison Ivy
Release 8 — day 14, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dermatitis contact | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Eyelid rash | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Photophobia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Ocular discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release