3LM-96625-78415
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 900 / CA
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Dose 1 — Pfizer-BioNTech
-
2021-05-04
Registered in v-safe
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2021-05-04
Survey response — day 14, dose 1MedDRA: Aphasia, Brain fog, Daydreaming — Feeling: GoodFree text: Brain fog. I'm having trouble building sentences and recalling words sometimes, a little more absent minded than usual. It's been the last week, basically - it started around 10 to 12 days after my first shot and is persisting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Dose 2 — Pfizer-BioNTech
-
2021-05-07
Survey response — day 0, dose 2MedDRA: Decreased appetite — Feeling: Good · Site: Pain · Fever · Joint pains, Fatigue or tirednessFree text: Not really nauseous, but appetite is super lowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
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2021-05-16
Survey response — day 7, dose 2MedDRA: Decreased appetite — Feeling: Fair · Fatigue or tirednessFree text: My appetite still hasn't come back. Every day I try eating and it feels like I'm full. I see the food in front of me and suddenly I don't want it, the smell doesn't trigger hunger, the taste is normal but unappealingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — day 14, dose 2MedDRA: Decreased appetite, Dyspepsia, Pre-existing disease — Feeling: FairFree text: My lack of appetite worsened, now indigestion every time I eat. Heartburn frequently, an increase from my norm. Minor muscle spasms still happening after 2 weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-06-06
- 2021-06-11
- 2021-11-06
- 2022-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Pfizer-BioNTech | |
| 2 | 2021-05-07 | Pfizer-BioNTech |
Free text
Release 8 — day 14, dose 1
Symptoms: Brain fog. I'm having trouble building sentences and recalling words sometimes, a little more absent minded than usual. It's been the last week, basically - it started around 10 to 12 days after my first shot and is persisting.
Release 8 — day 0, dose 2
Systemic reaction (other): Not really nauseous, but appetite is super low
Release 8 — day 7, dose 2
Systemic reaction (other): My appetite still hasn't come back. Every day I try eating and it feels like I'm full. I see the food in front of me and suddenly I don't want it, the smell doesn't trigger hunger, the taste is normal but unappealing
Release 8 — day 14, dose 2
Symptoms: My lack of appetite worsened, now indigestion every time I eat. Heartburn frequently, an increase from my norm. Minor muscle spasms still happening after 2 weeks.
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 | Brain fog | ✓ | ✓ | ✓ |
| SD | Daydreaming | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release