54Y-24525-74155
3 vaccinations
1 coded response
11 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 933 / CA
- Registered
- 2022-01-09
- Relationship
- Child or adolescent in my care
- Guardian
- 4H6-11073-30414
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Pfizer-BioNTech
-
2021-04-30
Dose 2 — Pfizer-BioNTech
-
2022-01-07
Dose 3 — Pfizer-BioNTech
-
2022-01-09
Registered in v-safe
-
2022-01-09
Survey response — days 1–6 daily, dose 3, dependentMedDRA: Brain fog — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Brain FogMedDRA releases: 2024-11 · check-in free text available
- 2022-01-11
- 2022-01-16
- 2022-01-23
- 2022-01-28
- 2022-02-06
- 2022-02-11
- 2022-02-18
- 2022-04-08
- 2022-07-11
- 2023-01-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech | No |
| 2 | 2021-04-30 | Pfizer-BioNTech | No |
| 3 | 2022-01-07 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 3, dependent
Systemic reaction (other): Brain 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 |
|---|---|---|---|---|
| SRO | Brain fog | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release