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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

  1. 2021-05-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-24
    Registered in v-safe
  3. 2021-05-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Fatigue, Migraine, Nausea, Neck pain, Pain in extremity, Self-medication, Somnolence — Feeling: Fair · Headache
    Free 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
  4. 2021-05-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: Slight dizzy and light headed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-05-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-06-04
    Survey response — day 14, dose 1
    MedDRA: Aphasia, Impaired work ability, Memory impairment, Thinking abnormal — Feeling: Good
    Free 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
  9. 2021-06-11
    Dose 2 — Pfizer-BioNTech
  10. 2021-06-18
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  11. 2021-06-25
    Survey response — day 14, dose 2
    MedDRA: Balance disorder, Fatigue, Headache, Pain in extremity, Vision blurred — Feeling: Fair
    Free 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
  12. 2021-07-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-21Pfizer-BioNTech
22021-06-11Pfizer-BioNTech

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-24

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.

2021-05-25

Systemic reaction (other): Slight dizzy and light headed.

Release 8 — day 14, dose 1

2021-06-04

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

2021-06-25

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

FieldPreferred term2021-092023-042024-11
SDAphasia ✓ ✓ ✓
SDBalance disorder ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDMemory impairment ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDThinking abnormal ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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