35Q-12465-53259
2 vaccinations
4 coded responses
9 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 144 / NY
- Registered
- 2021-05-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-21
Dose 1 — Pfizer-BioNTech
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2021-05-24
Registered in v-safe
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2021-05-24
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Fatigue, Migraine, Nausea, Neck pain, Pain in extremity, Self-medication, Somnolence — Feeling: Fair · HeadacheFree text: May 21, sore arm and neck. May 22 sore arm, severe migraine, nausea, extreme fatigue, slept all day. May 23 mild migraine, some fatigue, able to function. May 24 mild dizziness but other than that back to normal. Ice helped the sore arm a lot. Tylenol and Advil did not help much. Drank lots of water.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Slight dizzy and light headed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-05-27
- 2021-05-30
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2021-06-04
Survey response — day 14, dose 1MedDRA: Aphasia, Impaired work ability, Memory impairment, Thinking abnormal — Feeling: GoodFree text: I have noticed the last few days seem to have a bit if memory recall issues, difficulty getting certain words to formulate and not as clear and sharp in my thoughts and accuracy at work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-11
Dose 2 — Pfizer-BioNTech
- 2021-06-18
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2021-06-25
Survey response — day 14, dose 2MedDRA: Balance disorder, Fatigue, Headache, Pain in extremity, Vision blurred — Feeling: FairFree text: I have noticed over the last 2 weeks still feel a little fatigued, blurred vision, headaches, clumsy and off balance. My arm is still sore in the area where I received the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-21 | Pfizer-BioNTech | |
| 2 | 2021-06-11 | Pfizer-BioNTech |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): May 21, sore arm and neck. May 22 sore arm, severe migraine, nausea, extreme fatigue, slept all day. May 23 mild migraine, some fatigue, able to function. May 24 mild dizziness but other than that back to normal. Ice helped the sore arm a lot. Tylenol and Advil did not help much. Drank lots of water.
Systemic reaction (other): Slight dizzy and light headed.
Release 8 — day 14, dose 1
Symptoms: I have noticed the last few days seem to have a bit if memory recall issues, difficulty getting certain words to formulate and not as clear and sharp in my thoughts and accuracy at work.
Release 9 — day 14, dose 2
Symptoms: I have noticed over the last 2 weeks still feel a little fatigued, blurred vision, headaches, clumsy and off balance. My arm is still sore in the area where I received the vaccination.
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 | Aphasia | ✓ | ✓ | ✓ |
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Thinking abnormal | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release