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
-
2021-04-21
Dose 1 — Pfizer-BioNTech
-
2021-04-26
Registered in v-safe
-
2021-04-26
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree 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
-
2021-04-27
Survey response — days 1–6 daily, dose 1MedDRA: 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 visitFree text: High BPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-27 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 1
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)
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Blindness | ✓ | ✓ | ✓ |
| SRO | Diplopia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hospitalisation | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release