324-14505-29203
2 vaccinations
7 coded responses
11 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 440 / OH
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Pfizer-BioNTech
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — day 14, dose 1MedDRA: Amnesia, Confusional state, Headache, Mental impairment, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shot may have contributed to complete memory loss, which is just started to resume.2 headaches this week and confusion. More headaches since taking shot. Have been experiencing itching in various places at times. Unable to function normally.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Dose 2 — Pfizer-BioNTech
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2021-04-02
Survey response — day 7, dose 2MedDRA: Migraine — Feeling: GoodFree text: A migraine headache on the day after shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-16
- 2021-04-25
- 2021-05-01
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2021-09-27
Survey response — 6 months, dose 2MedDRA: Discouragement, Memory impairment — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: My memory has taken a sudden decrease. This is unusual and my parents did nothing lose their memory this way. Very disheartening.MedDRA releases: 2024-11 · check-in free text available
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2021-09-27
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-09-29
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2022-03-28
Survey response — 12 months, dose 2MedDRA: Amnesia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Memory loss at times lasting anywhere from 36 weeks at a time.MedDRA releases: 2024-11 · check-in free text available
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2022-03-28
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): No
Systemic reaction (other): No
Release 5 — day 7, dose 1
Systemic reaction (other): No
Release 6 — day 14, dose 1
Symptoms: Shot may have contributed to complete memory loss, which is just started to resume.2 headaches this week and confusion. More headaches since taking shot. Have been experiencing itching in various places at times. Unable to function normally.
Release 6 — day 7, dose 2
Systemic reaction (other): A migraine headache on the day after shot
Release 9 — 6 months, dose 2
Symptoms: My memory has taken a sudden decrease. This is unusual and my parents did nothing lose their memory this way. Very disheartening.
Release 11 — 12 months, dose 2
Symptoms: Memory loss at times lasting anywhere from 36 weeks at a time.
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 |
|---|---|---|---|---|
| SD | Amnesia | ✓ | ✓ | ✓ |
| SD | Confusional state | ✓ | ✓ | ✓ |
| SD | Discouragement | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Mental impairment | ○ | ✓ | ○ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release