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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

  1. 2021-03-05
    Registered in v-safe
  2. 2021-03-05
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-12
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-22
    Survey response — day 14, dose 1
    MedDRA: Amnesia, Confusional state, Headache, Mental impairment, Pruritus — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  7. 2021-03-26
    Dose 2 — Pfizer-BioNTech
  8. 2021-04-02
    Survey response — day 7, dose 2
    MedDRA: Migraine — Feeling: Good
    Free text: A migraine headache on the day after shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-09-27
    Survey response — 6 months, dose 2
    MedDRA: 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 visit
    Free 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
  14. 2021-09-27
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2021-09-29
  16. 2022-03-28
    Survey response — 12 months, dose 2
    MedDRA: 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, Hospitalization
    Free text: Memory loss at times lasting anywhere from 36 weeks at a time.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-03-28
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  18. 2022-03-29

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Pfizer-BioNTech
22021-03-26Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): No

2021-03-11

Systemic reaction (other): No

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): No

Release 6 — day 14, dose 1

2021-03-22

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

2021-04-02

Systemic reaction (other): A migraine headache on the day after shot

Release 9 — 6 months, dose 2

2021-09-27

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

2022-03-28

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

FieldPreferred term2021-092023-042024-11
SDAmnesia ✓ ✓ ✓
SDConfusional state ✓ ✓ ✓
SDDiscouragement · · ✓
SDHeadache ✓ ✓ ✓
SDMemory impairment · · ✓
SDMental impairment ○ ✓ ○
SDPruritus ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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