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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

  1. 2021-03-22
    Registered in v-safe
  2. 2021-03-22
    Dose 1 — Janssen/Johnson & Johnson
  3. 2021-03-22
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  4. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Headache, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-29
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-14
    Health check-in — day 21, single dose
    Feeling: Good
    Adult check-in
  12. 2021-04-21
    Survey response — day 28, single dose
    MedDRA: Vision blurred — Feeling: Good
    Free 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
  13. 2021-04-28
    Health check-in — day 35, single dose
    Feeling: Good
    Adult check-in
  14. 2021-05-03
    Health check-in — day 42, single dose
    Feeling: Good
    Adult check-in
  15. 2021-06-21
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-09-22
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  17. 2022-01-07
    Dose 2 — Pfizer-BioNTech
  18. 2022-01-23
    Survey response — day 14, dose 2
    MedDRA: Brain fog, Memory impairment — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  19. 2022-02-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-02-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-07-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Janssen/Johnson & Johnson
22022-01-07Pfizer-BioNTech No

Free text

Release 7 — day 28, single dose

2021-04-21

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

2022-01-23

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

FieldPreferred term2021-092023-042024-11
SDBrain fog · · ✓
SDMemory impairment · · ✓
SDVision blurred ✓ ✓ ✓

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