ZV5-15678-39716
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 51-55
- ZIP prefix
- 376 / TN
- Registered
- 2021-08-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-07-31
Dose 1 — Pfizer-BioNTech
-
2021-08-02
Registered in v-safe
- 2021-08-02
-
2021-08-04
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Eyelid ptosis, Fear, Self-medication — Feeling: FairFree text: 1 Day after the injection.,My eye was drooping and I was scared i had Belle Palsey. The condition went slowly going away with advil . But I worry about the second shot. Help, what is the true data regarding this condition and the vaccine?MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-05
Survey response — days 1–6 daily, dose 1MedDRA: Facial paralysis — Feeling: FairFree text: Eye droopiness has gone away. But I am afraid to take the second shot. I want to be fully immunized but what if I have a stronger reaction in the eye droopiness I suspect it was caused by the 1st shot.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-07
Survey response — day 7, dose 1MedDRA: Eyelid ptosis, Pre-existing disease — Feeling: FairFree text: 24 hours after the shot my eye was very droopy. I have a shunt and do not know if it was the shot or the hydrocephalus. I am very afraid of getting the 2nd shot. I wish some one could contact me about this situation.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-14
-
2021-08-21
Dose 2 — Pfizer-BioNTech
-
2021-08-21
Survey response — day 0, dose 2MedDRA: Chest discomfort — Feeling: FairFree text: Mild disconfort on the right side of the upper chess.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-22
- 2021-08-24
- 2021-08-26
- 2021-08-27
- 2021-08-28
- 2021-09-04
- 2021-09-11
- 2021-09-18
- 2021-09-25
- 2021-10-02
- 2021-11-22
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-31 | Pfizer-BioNTech | No |
| 2 | 2021-08-21 | Pfizer-BioNTech | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): 1 Day after the injection.,My eye was drooping and I was scared i had Belle Palsey. The condition went slowly going away with advil . But I worry about the second shot. Help, what is the true data regarding this condition and the vaccine? cut off by CDC
Systemic reaction (other): Eye droopiness has gone away. But I am afraid to take the second shot. I want to be fully immunized but what if I have a stronger reaction in the eye droopiness I suspect it was caused by the 1st shot.
Release 9 — day 7, dose 1
Systemic reaction (other): 24 hours after the shot my eye was very droopy. I have a shunt and do not know if it was the shot or the hydrocephalus. I am very afraid of getting the 2nd shot. I wish some one could contact me about this situation.
Release 9 — day 0, dose 2
Systemic reaction (other): Mild disconfort on the right side of the upper chess.
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 | Anxiety | ✓ | · | ✓ |
| SRO | Chest discomfort | ✓ | · | ✓ |
| SRO | Eyelid ptosis | ✓ | · | ✓ |
| SRO | Facial paralysis | ✓ | · | ✓ |
| SRO | Fear | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Self-medication | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release