43G-17213-76169
2 vaccinations
2 coded responses
18 check-ins
2 free-text entries
0 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 480 / MI
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Janssen/Johnson & Johnson
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-14
-
2021-04-21
Survey response — day 28, single doseMedDRA: Vision blurred — Feeling: GoodFree text: My eyes were out of focus for a short period of time last week. Each one alone worked but the image I got when both eyes were opened was not in sync. So I kept both eyes closed for a couple of minutes. Then everything was normal again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-03
- 2021-06-21
- 2021-09-22
-
2022-01-07
Dose 2 — Pfizer-BioNTech
-
2022-01-23
Survey response — day 14, dose 2MedDRA: Brain fog, Memory impairment — Feeling: Good · Be unable to do your normal daily activitiesFree text: I got Pfizer booster on Fri 1-7-22. On Mon 1-10-22 I had brain fog in that I forgot how to do basic everyday tasks at work and home. Intense for that week. Week of 1-17 I got better. Now 1-23 almost back to normal brain wise. Didn't like b-fog.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-11
- 2022-02-18
- 2022-07-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Janssen/Johnson & Johnson | |
| 2 | 2022-01-07 | Pfizer-BioNTech | No |
Free text
Release 7 — day 28, single dose
Symptoms: My eyes were out of focus for a short period of time last week. Each one alone worked but the image I got when both eyes were opened was not in sync. So I kept both eyes closed for a couple of minutes. Then everything was normal again.
Release 11 — day 14, dose 2
Symptoms: I got Pfizer booster on Fri 1-7-22. On Mon 1-10-22 I had brain fog in that I forgot how to do basic everyday tasks at work and home. Intense for that week. Week of 1-17 I got better. Now 1-23 almost back to normal brain wise. Didn't like b-fog.
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 | Brain fog | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release