YCD-19853-83112

3 vaccinations 11 coded responses 33 check-ins 10 free-text entries 1 call case

Sex: Male
Age at first dose: 31-35
ZIP prefix: 206 / MD
Registered: 2021-06-18

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

2021-06-18
Registered in v-safe
2021-06-18
Dose 1 — Pfizer-BioNTech
2021-06-18
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-06-20
Survey response — days 1–6 daily, dose 1
MedDRA: Erythema — Feeling: Good

Free text: Experiencing redness in left eye that is much heavier than normal.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenopia, Eye haemorrhage, Ocular hyperaemia — Feeling: Good · Be unable to work or attend school

Free text: Heavy reddening of the left eye. Looks like a broken blood vessel in the eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — days 1–6 daily, dose 1
MedDRA: Ocular hyperaemia — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Redness of the left eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-23
Survey response — days 1–6 daily, dose 1
MedDRA: Ocular hyperaemia — Feeling: Good

Free text: Left eye redness still present but now finally beginning to lessen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — days 1–6 daily, dose 1
MedDRA: Ocular hyperaemia — Feeling: Good

Free text: Still have redness in left eye, but is now steadily decreasing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — day 7, dose 1
MedDRA: Ocular hyperaemia — Feeling: Good

Free text: Redness in left eye continuing to dissipate. But still monitoring.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Call 1 — Left Voicemail
2021-06-29
Call successful
Completed over the phone
2021-07-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-09
Dose 2 — Pfizer-BioNTech
2021-07-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-07
Dose 3 — Pfizer-BioNTech
2022-01-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-11
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-01-12
Survey response — days 1–6 daily, dose 3
MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Congestion/Runny Nose and Coughing

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Survey response — days 1–6 daily, dose 3
MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activities

Free text: Have been diagnosed with COVID-19 despite being vaccinated.

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Survey response — day 7, dose 3
MedDRA: COVID-19, Cough, Respiratory tract congestion — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Have been diagnosed with COVID-19 as of 1/13/22. Have had coughing, congestion

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-11
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-07-08
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2023-01-07
Survey response — 12 months, dose 3
MedDRA: Inflammation, Ocular hyperaemia — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-18	Pfizer-BioNTech
2	2021-07-09	Pfizer-BioNTech	No
3	2022-01-07	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-22	Successful 2021-06-29	Completed over the phone

Free text

Release 9 — day 0, dose 1

2021-06-18

Systemic reaction (other): No

Release 9 — days 1–6 daily, dose 1

2021-06-20

Systemic reaction (other): Experiencing redness in left eye that is much heavier than normal.

2021-06-21

Systemic reaction (other): Heavy reddening of the left eye. Looks like a broken blood vessel in the eye

2021-06-22

Systemic reaction (other): Redness of the left eye

2021-06-23

Systemic reaction (other): Left eye redness still present but now finally beginning to lessen.

2021-06-24

Systemic reaction (other): Still have redness in left eye, but is now steadily decreasing

Release 9 — day 7, dose 1

2021-06-25

Systemic reaction (other): Redness in left eye continuing to dissipate. But still monitoring.

Release 10 — days 1–6 daily, dose 3

2022-01-12

Systemic reaction (other): Congestion/Runny Nose and Coughing

2022-01-13

Systemic reaction (other): Have been diagnosed with COVID-19 despite being vaccinated.

Release 10 — day 7, dose 3

2022-01-14

Systemic reaction (other): Have been diagnosed with COVID-19 as of 1/13/22. Have had coughing, congestion

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	Inflammation	·	·	✓
SD	Ocular hyperaemia	·	·	✓
SRO	Asthenopia	✓	✓	✓
SRO	Cough	·	·	✓
SRO	COVID-19	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Eye haemorrhage	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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