YU7-75433-60929
3 vaccinations
4 coded responses
11 check-ins
4 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 038 / NH
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Pfizer-BioNTech
-
2021-03-11
Registered in v-safe
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
-
2021-03-22
Survey response — day 14, dose 1MedDRA: Photopsia, Unevaluable event, Visual field defect — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Started having peripheral flashing streak in left eye. Seems related to retina. Started 7 days after vaccine. Lining up appointment with eye doctor. Never had problem previously. Happens when moving eyes horizontaly. · Healthcare visit (other): Getting referral for eye exam.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-30
-
2021-05-08
Dose 2 — Pfizer-BioNTech
- 2021-06-07
- 2021-09-06
-
2021-09-25
Dose 3 — Pfizer-BioNTech
- 2021-12-30
-
2022-03-10
Survey response — 12 months, dose 1MedDRA: Arthritis, Cellulitis, Office visit, Visual impairment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Arthritis and cellulidous plus vision issues. · Healthcare visit (other): Doctor office visit.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-10
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-03-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-03-27
Survey response — 6 months, dose 3MedDRA: Cough, Fatigue, Influenza like illness, Sinus headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: ILI that has lasted 3 weeks and is giving me sinus headaches and fatigue. Persistent dry cough as well.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-25
Survey response — 12 months, dose 3MedDRA: Atrial flutter, Office visit, Tachycardia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Tachycardia for 24 hours in June and Atrial Flutter in regular basis. · Healthcare visit (other): Working with cardiologistMedDRA releases: 2024-11 · check-in free text available
-
2022-09-25
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-09-26
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Pfizer-BioNTech | |
| 2 | 2021-05-08 | Pfizer-BioNTech | No |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-22 | Successful 2022-03-11 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-03-10 | Successful 2022-03-11 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-09-25 | Successful 2022-09-26 |
Completed over the phone |
Free text
Release 6 — day 14, dose 1
Symptoms: Started having peripheral flashing streak in left eye. Seems related to retina. Started 7 days after vaccine. Lining up appointment with eye doctor. Never had problem previously. Happens when moving eyes horizontaly.
Healthcare visit (other): Getting referral for eye exam.
Release 11 — 12 months, dose 1
Symptoms: Arthritis and cellulidous plus vision issues.
Healthcare visit (other): Doctor office visit.
Release 11 — 6 months, dose 3
Symptoms: ILI that has lasted 3 weeks and is giving me sinus headaches and fatigue. Persistent dry cough as well.
Release 12 — 12 months, dose 3
Symptoms: Tachycardia for 24 hours in June and Atrial Flutter in regular basis.
Healthcare visit (other): Working with cardiologist
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 | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Atrial flutter | · | · | ✓ |
| SD | Cellulitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Photopsia | ✓ | ✓ | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SD | Visual field defect | ✓ | ✓ | ✓ |
| SD | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release