YR8-19340-13811
5 vaccinations
10 coded responses
58 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 481 / MI
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
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2021-01-21
Dose 1 — Pfizer-BioNTech
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Ocular hyperaemia — Feeling: Fair · Chills, NauseaFree text: Maybe unrelated, but blood shot eye. I had Cataract surgery November 10, which I developed Edema. Past month I have been using drops, but didnt have any blood shot. I have contacted my Dr.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Ocular hyperaemia — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I have a blood shot right eye since day #2 of my vaccination. I have a Feb. 4th Appt. Considering rescheduling for an earlier appointment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Ocular hyperaemia — Feeling: Good · Chills, DiarrheaFree text: Right Eye is still blood shot. I have an eye appointment on February 4, 2021.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Ocular hyperaemia, Office visit — Feeling: GoodFree text: Continue to have blood shot right eye. Seeing my Eye Dr Feb 4. I saw my Primary Dr. today .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: FairFree text: Constantly itching throughout the day. Feels like an allergic reaction.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Eye haemorrhage — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Eye has cleared up. Very small amount of blood in corner of right eye.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-04
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2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
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2021-03-04
Survey response — day 21, dose 2MedDRA: Chills, Diarrhoea — Feeling: GoodFree text: One day of chills early morning last approximately 3hts.Same day diarrhea at least 2 - 3 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
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2021-10-15
Dose 3 — Pfizer-BioNTech
- 2021-10-16
- 2021-10-17
- 2021-10-18
- 2021-10-19
- 2021-10-20
- 2021-10-22
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2021-10-29
Survey response — day 14, dose 3MedDRA: Hospitalisation, Hypoaesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Hospitalized Tuesday, October 26, 2021 due to numbness on my left side of my face. Discharged Thursday October 28, 2021. Possibly a reaction to a medication.MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2021-11-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-28
- 2022-01-14
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2022-04-07
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-18
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-07-07
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2022-09-22
Dose 5 — Pfizer-BioNTech
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
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2022-09-28
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: GoodFree text: Having to use inhaler more than usual.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-01
- 2022-10-06
- 2022-10-13
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2022-10-20
Survey response — day 28, dose 5MedDRA: COVID-19 — Feeling: FairFree text: Since having Covid-19 I am using an inhaler Berlo once a day and Albuterol 0ne puff 4 x daily, my question is how does Covid-19 affect the lung long term.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
- 2022-11-03
- 2022-12-22
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | No |
| 4 | 2022-04-07 | Pfizer-BioNTech | No |
| 5 | 2022-09-22 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-29 | Successful 2021-11-01 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Maybe unrelated, but blood shot eye. I had Cataract surgery November 10, which I developed Edema. Past month I have been using drops, but didnt have any blood shot. I have contacted my Dr.
Systemic reaction (other): I have a blood shot right eye since day #2 of my vaccination. I have a Feb. 4th Appt. Considering rescheduling for an earlier appointment.
Systemic reaction (other): Right Eye is still blood shot. I have an eye appointment on February 4, 2021.
Systemic reaction (other): Continue to have blood shot right eye. Seeing my Eye Dr Feb 4. I saw my Primary Dr. today .
Systemic reaction (other): Constantly itching throughout the day. Feels like an allergic reaction.
Systemic reaction (other): Eye has cleared up. Very small amount of blood in corner of right eye.
Release 5 — day 21, dose 2
Symptoms: One day of chills early morning last approximately 3hts.Same day diarrhea at least 2 - 3 hours.
Release 10 — day 14, dose 3
Symptoms: Hospitalized Tuesday, October 26, 2021 due to numbness on my left side of my face. Discharged Thursday October 28, 2021. Possibly a reaction to a medication.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Having to use inhaler more than usual.
Release 12 — day 28, dose 5
Symptoms: Since having Covid-19 I am using an inhaler Berlo once a day and Albuterol 0ne puff 4 x daily, my question is how does Covid-19 affect the lung long term.
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 | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SRO | Eye haemorrhage | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release