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YVN-25152-79165

1 vaccination 2 coded responses 2 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
128 / NY
Registered
2021-04-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-26
    Registered in v-safe
  3. 2021-04-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blindness, Diplopia, Headache, Hospitalisation, Hypoaesthesia, Muscle twitching, Nausea, Vision blurred — Feeling: Poor · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: I ended up in (b)(6) 36 hours after vaccination, for a 24 hour stay, on a cardiac unit being monitored for what they consider post vaccination side effects and i have been advised by the neurologist i am following up with, not to receive my 2nd dose. I had an episode where i had loss of vision in one eye, and double vision in the other accompanied by a sudden headache, nausea, twitching on left side of my face, numbness in hands, arms and thighs, i was put on stroke observation, and had 2 CT scans, and a MRI, to rule out a clot, neurologist stated he has seen patients with hx of headaches and migraines complain of similiar side effects after there vaccination, i am still out of work today, 5 days post vaccination, with blurred vision and occasioanl headache/nausea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypertension — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: High BP
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-27
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2022-04-07

Vaccinations

DoseDateManufacturerCo-administered
12021-04-21Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-04-27 Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): I ended up in (b)(6) 36 hours after vaccination, for a 24 hour stay, on a cardiac unit being monitored for what they consider post vaccination side effects and i have been advised by the neurologist i am following up with, not to receive my 2nd dose. I had an episode where i had loss of vision in one eye, and double vision in the other accompanied by a sudden headache, nausea, twitching on left side of my face, numbness in hands, arms and thighs, i was put on stroke observation, and had 2 CT scans, and a MRI, to rule out a clot, neurologist stated he has seen patients with hx of headaches and migraines complain of similiar side effects after there vaccination, i am still out of work today, 5 days post vaccination, with blurred vision and occasioanl headache/nausea.
redacted (b)(6)

2021-04-27

Systemic reaction (other): High BP

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

FieldPreferred term2021-092023-042024-11
SROBlindness ✓ ✓ ✓
SRODiplopia ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHospitalisation ✓ ✓ ✓
SROHypertension ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROMuscle twitching ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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