Despite the name, "Pale Blue Eyes" was written about someone whose eyes were hazel, as Reed notes in his book Between Thought and Expression.[4] The song is said to have been inspired by Shelley Albin, Reed's first love, who at the time was married to another man.[5]
Hole covered the song live at the Whisky a Go Go in February 1992, and frontwoman Courtney Love introduced it as "the original new waver".[7] Hole's version included lyrically altered verses but retained the chorus lyrics and chord progression. The recording eventually ended up on the band's first EP, Ask for It (1995).
The song drives the plot in the 1997 South Korean romance film The Contact, in which a radio DJ receives an anonymous package containing the album The Velvet Underground and plays "Pale Blue Eyes," hoping to reconnect with his former lover.
The song and the LP version of the album were both featured in an episode of the 2009-2010 South Korean sitcom High Kick Through the Roof. The characters Shin Sekyung (Shin Se-kyung) and Lee Jihoon (Daniel Choi) listened to the song a number of times in a record bar and a cafe which Jihoon had often frequented as a college student. Later, Sekyung purchased the record as a souvenir; in a subsequent episode, she gave the record to Jihoon as a birthday gift.
The original song was featured during the final scenes of the January 25, 2009 episode of Cold Case (CBS) entitled "The Brush Man". This program regularly features music popular during the time when the cold case being investigated had occurred. Although the murder in this episode occurred in 1967, "Pale Blue Eyes" was recorded in 1969. The song was also featured in episodes of Crossing Jordan, Fringe and The Deuce.