66M-30092-75763

3 vaccinations 12 coded responses 22 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 631 / MO
Registered: 2021-03-15

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-09
Dose 1 — Pfizer-BioNTech
2021-03-15
Registered in v-safe
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-16
Survey response — day 7, dose 1
MedDRA: Feeling abnormal, Immunisation reaction, Thinking abnormal — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Covid confusion- aka brain fog, lack of ability to process much of anything.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 14, dose 1
MedDRA: Dyspnoea, Fatigue, Sneezing — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Difficulty breathing, excessive sneezing and exhaustion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 21, dose 1
MedDRA: Aphasia, Feeling abnormal, Speech disorder — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: The brain fog and inability to find words for things as well as tongue tied speech, has been constant since a few days after the first vaccine. I did not have the app or know to report those types of issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Health check-in — day 0, dose 2
Feeling: Fair · Site: Redness · Fatigue or tiredness, Nausea

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Poor peripheral circulation — Feeling: Fair · Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: My fingers and toes started losing circulation at random, again. This is only began when I first had C-19 in July.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea, Abdominal pain

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-04-28
Survey response — day 14, dose 2
MedDRA: Feeling abnormal, Impaired driving ability, Mental impairment, Speech disorder, Tinnitus — Feeling: Good · Be unable to do your normal daily activities

Free text: My brain is so jumbled causing me to have difficulty with speech and thought process. It has worsened to a point where driving is questionable and unsafe at times. Loud noises and others talking gets overwhelming quickly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 21, dose 2
MedDRA: Amnesia, Brain fog, Decreased appetite, Diarrhoea, Vision blurred — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My eyes have difficulty focusing. My brain cannot process reading numbers, has very little short term memory, and feels like it is spinning out when I try to process any new information.Digestion has been horrible with diarrhea,zero appetite,na

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 28, dose 2
MedDRA: Amnesia, Cognitive disorder, Decreased appetite, Diarrhoea, Gastrointestinal disorder, Muscle atrophy, Nausea — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: Short term memory loss is & lack of ability to cognitively process is blatant, digestive issues are constant with no improvement, ie zero appetite, nausea, diarrhea 100%, random Covid toes/fingers but lessening in frequency, and loss of muscle mass.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 35, dose 2
MedDRA: Amnesia, Body temperature increased, Chills, Cognitive disorder, Decreased appetite, Diarrhoea, Discomfort, Gastrointestinal pain, Vision blurred — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

Free text: On going lack of short term memory, cognitive issues, blurred vision, intestinal pain, and never ending diarrhea...if I can force myself to eat. No appetite. Chills and discomfort of body temp have increased in the last week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — day 42, dose 2
MedDRA: Diarrhoea, Gastrointestinal pain, Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: Lower intestinal pain & chronic diarrhea ensue, an internal pressure in the center of my neck is also causing a dull headache daily. The loss of circulation in random fingers & toes continues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I caught a cold from my 9yr old who got it from playing massless outside with his friend.

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Dose 3 — Pfizer-BioNTech
2022-04-13
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-07-04
Survey response — 6 months, dose 3
MedDRA: COVID-19, Chills, Cough, Discomfort, Exposure to SARS-CoV-2, Fatigue, Headache, Lacrimation increased, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I contracted Covid for the 3rd time,even after taking precautions.My son was exposed at his school and brought it home.We suffered acute symptoms of sneezing fits, dry uncomfortable coughing, watery eyes, fatigue, chills,& continuous odd headaches.

MedDRA releases: 2024-11 · check-in free text available
2023-01-03
Survey response — 12 months, dose 3
MedDRA: Brain fog, Chills, Cough, Disturbance in attention, Fatigue, Memory impairment, Nausea, Respiratory tract congestion, Sinusitis, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2022-01-03	Pfizer-BioNTech	No

Free text

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Covid confusion- aka brain fog, lack of ability to process much of anything.

Release 6 — day 14, dose 1

2021-03-23

Symptoms: Difficulty breathing, excessive sneezing and exhaustion.

Release 6 — day 21, dose 1

2021-03-30

Symptoms: The brain fog and inability to find words for things as well as tongue tied speech, has been constant since a few days after the first vaccine. I did not have the app or know to report those types of issues.

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): My fingers and toes started losing circulation at random, again. This is only began when I first had C-19 in July.

Release 8 — day 14, dose 2

2021-04-28

Symptoms: My brain is so jumbled causing me to have difficulty with speech and thought process. It has worsened to a point where driving is questionable and unsafe at times. Loud noises and others talking gets overwhelming quickly.

Release 8 — day 21, dose 2

2021-05-04

Symptoms: My eyes have difficulty focusing. My brain cannot process reading numbers, has very little short term memory, and feels like it is spinning out when I try to process any new information.Digestion has been horrible with diarrhea,zero appetite,na

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Short term memory loss is & lack of ability to cognitively process is blatant, digestive issues are constant with no improvement, ie zero appetite, nausea, diarrhea 100%, random Covid toes/fingers but lessening in frequency, and loss of muscle mass. cut off by CDC

Release 8 — day 35, dose 2

2021-05-18

Symptoms: On going lack of short term memory, cognitive issues, blurred vision, intestinal pain, and never ending diarrhea...if I can force myself to eat. No appetite. Chills and discomfort of body temp have increased in the last week.

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Lower intestinal pain & chronic diarrhea ensue, an internal pressure in the center of my neck is also causing a dull headache daily. The loss of circulation in random fingers & toes continues.

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: I caught a cold from my 9yr old who got it from playing massless outside with his friend.

Release 12 — 6 months, dose 3

2022-07-04

Symptoms: I contracted Covid for the 3rd time,even after taking precautions.My son was exposed at his school and brought it home.We suffered acute symptoms of sneezing fits, dry uncomfortable coughing, watery eyes, fatigue, chills,& continuous odd headaches. cut off by CDC

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	Amnesia	✓	✓	✓
SD	Aphasia	✓	✓	✓
SD	Body temperature increased	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cognitive disorder	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Discomfort	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrointestinal disorder	✓	✓	✓
SD	Gastrointestinal pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Impaired driving ability	✓	✓	✓
SD	Lacrimation increased	·	·	✓
SD	Memory impairment	·	·	✓
SD	Mental impairment	✓	✓	✓
SD	Muscle atrophy	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sinusitis	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Speech disorder	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Poor peripheral circulation	✓	✓	✓
SRO	Thinking abnormal	✓	✓	✓

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