YNV-31020-97414
5 vaccinations
9 coded responses
47 check-ins
9 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 907 / CA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Pfizer-BioNTech
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Eye irritation — Feeling: Good · Site: PainFree text: My eyes burned on my drive home yesterday from the vaccination and at about the same time today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-23
-
2021-03-30
Survey response — day 14, dose 1MedDRA: Neck pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Neck pain (back of neck)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Dose 2 — Pfizer-BioNTech
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Ocular hyperaemia — Feeling: Good · Site: PainFree text: Left eye was bloodshot on 4/7/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-06
- 2021-05-11
-
2021-05-18
Survey response — day 42, dose 2MedDRA: Hordeolum — Feeling: Fair · 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: A stye has developed in my left eyelid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-06
-
2021-10-05
Survey response — 6 months, dose 2MedDRA: Ear pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ear ache this past week.MedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-06
Dose 3 — Pfizer-BioNTech
- 2021-10-07
- 2021-10-09
- 2021-10-10
- 2021-10-12
- 2021-10-13
- 2021-10-20
- 2021-10-27
- 2021-11-05
-
2021-11-10
Survey response — day 35, dose 3MedDRA: Chills, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: As expected, I had body aches and chills for 24 hours after receiving my 2nd shingles vaccine.MedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Survey response — day 42, dose 3MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Minor sore throat (right side) for the past 2 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-05
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2022-04-07
Dose 4 — Pfizer-BioNTech
- 2022-04-07
- 2022-04-16
- 2022-04-21
- 2022-04-30
- 2022-05-05
- 2022-05-12
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2022-05-19
Survey response — day 42, dose 4MedDRA: Contusion, Ophthalmic migraine, Visual field defect — Feeling: Fair · Be unable to work or attend schoolFree text: Optical migrane and blind spot since receiving a contusion to the back of my skull.MedDRA releases: 2024-11 · check-in free text available
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2022-07-07
Survey response — 3 months, dose 4MedDRA: Office visit, Ophthalmic migraine — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Another 2 ocular migranes. · Healthcare visit (other): In-person visits to ophthalmologist.MedDRA releases: 2024-11 · check-in free text available
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2022-07-07
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
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2022-07-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-07-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-07-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-08
Dose 5 — Pfizer-BioNTech
- 2022-09-12
- 2022-09-14
- 2022-09-17
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-12-10
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | |
| 2 | 2021-04-06 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Pfizer-BioNTech | No |
| 5 | 2022-09-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-18 | Successful 2022-07-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-10-05 | Successful 2022-07-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-07 | Successful 2022-07-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My eyes burned on my drive home yesterday from the vaccination and at about the same time today.
Release 6 — day 14, dose 1
Symptoms: Neck pain (back of neck)
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Left eye was bloodshot on 4/7/21
Release 8 — day 42, dose 2
Symptoms: A stye has developed in my left eyelid.
Release 10 — 6 months, dose 2
Symptoms: Ear ache this past week.
Release 10 — day 35, dose 3
Symptoms: As expected, I had body aches and chills for 24 hours after receiving my 2nd shingles vaccine.
Release 10 — day 42, dose 3
Symptoms: Minor sore throat (right side) for the past 2 days.
Release 11 — day 42, dose 4
Symptoms: Optical migrane and blind spot since receiving a contusion to the back of my skull.
Release 12 — 3 months, dose 4
Symptoms: Another 2 ocular migranes.
Healthcare visit (other): In-person visits to ophthalmologist.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Hordeolum | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Ophthalmic migraine | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Visual field defect | · | · | ✓ |
| SRO | Eye irritation | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release