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67V-28540-89619

2 vaccinations 21 coded responses 24 check-ins 21 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
805 / CO
Registered
2021-10-09
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-10-08
    Dose 1 — Pfizer-BioNTech
  2. 2021-10-09
    Registered in v-safe
  3. 2021-10-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache
    Free text: Pain at injection site
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-10-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Influenza like illness, Lymphadenopathy — Feeling: Good · Site: Pain
    Free text: Swollen lymph nodes in left side of neck. Felt flusish in the morning but better in the afternoon
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-10-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Brain fog, Influenza like illness, Lymph node pain, Lymphadenopathy — Feeling: Good · Headache, Fatigue or tiredness
    Free text: I have brain fog today - just cant get a clear head or thoughts. My lymph nodes under my left armpit are swollen and tender. Woke up feeling fluish but it went away when i was up and about
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-10-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Brain fog — Feeling: Good · Headache
    Free text: Still have brain fog
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-10-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Brain fog — Feeling: Good
    Free text: Still some brain fog
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-10-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Brain fog — Feeling: Good
    Free text: Still have brain fog
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-10-15
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Nausea
    Free text: Not sure if the nausea is from vaccine??
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-10-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-10-29
    Survey response — day 21, dose 1
    MedDRA: Brain fog, Tinnitus — Feeling: Fair
    Free text: My brain fog has gotten worse. A few days ago I noticed my ears are ringing and/ or making a humming noise like tinnitus. I did not have this before the shot.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-11-01
    Dose 2 — Pfizer-BioNTech
  13. 2021-11-01
    Health check-in — day 0, dose 2
    Feeling: Good · Headache
    Adult check-in
  14. 2021-11-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Brain fog, Head discomfort, Inflammation, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Headache
    Free text: I have extreme brain fog. I even feel pressure/inflammation in my head. The ringing/humming in my ears is worse today than it has been.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-11-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Brain fog, Dizziness, Head discomfort, Headache, Influenza, Malaise, Ocular discomfort, Self-medication — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Severe brain fog. My head feels swollen inside lots of pressure in the front of my head and eyes. I feel dizzy and lightheaded. Terrible headache that does not go away even with ibuprofen. Overall i feel fluish and sick.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-11-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Dizziness, Dyspepsia, Feeling abnormal, Heart rate increased, Lower respiratory tract infection, Peripheral swelling, Tremor — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches
    Free text: I feel light-headed. My chest feels weird like i have chest cold or pressure or bad heartburn. My resting hr bpm was 114 at 7am. My heart feels like its beating fast. I am shaky today. My hands are swollen can barely get my ring off. I dont feel rig
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-11-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Brain fog, Musculoskeletal stiffness, Myalgia — Feeling: Good · Site: Swelling · Headache, Muscle or body aches
    Free text: Still extreme brain fog. My neck muscles are sore and stiff.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-11-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Brain fog, Fatigue, Tinnitus — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Free text: I have brain fog still. My ears are ringing- buzzing louder today. I was extremely tired today.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-11-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Brain fog, Tinnitus — Feeling: Good · Site: Swelling · Fatigue or tiredness
    Free text: Still struggling with brain fog and ringing and humming in ears
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-11-08
    Survey response — day 7, dose 2
    MedDRA: Brain fog, Tinnitus — Feeling: Good · Headache
    Free text: Brain fog and ears are still ringing and humming
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-11-22
    Survey response — day 21, dose 2
    MedDRA: Bradyphrenia, Brain fog, Inflammation, Memory impairment — Feeling: Good
    Free text: I still have extreme brain fog. My recall and memory is slow. I feel inflammation in my head and body still
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-30
    Survey response — day 28, dose 2
    MedDRA: Brain fog, Ear discomfort, Inflammation, Tinnitus — Feeling: Good
    Free text: I still have brain fog. My ears are still ringing and now feel plugged like I'm in a tunnel. I can feel inflammation in my body and brain.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-12-06
    Survey response — day 35, dose 2
    MedDRA: Brain fog, Inflammation — Feeling: Good
    Free text: Stil struggle with brain fog and inflammation
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-12-14
    Survey response — day 42, dose 2
    MedDRA: Brain fog, Tinnitus — Feeling: Good
    Free text: Still have brain fog and ears are buzzing and humming.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-01-31
    Survey response — 3 months, dose 2
    MedDRA: COVID-19, Malaise — Feeling: Good
    Free text: Contracted Covid jan 14th 2022 was very sick and am still experiencing symptoms
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-05-04
    Survey response — 6 months, dose 2
    MedDRA: Brain fog, Office visit, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Tinnitus and severe brain fog. I am having to see several specialists to help figure it out
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-10-08Pfizer-BioNTech No
22021-11-01Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 1

2021-10-09

Systemic reaction (other): Pain at injection site

2021-10-10

Systemic reaction (other): Swollen lymph nodes in left side of neck. Felt flusish in the morning but better in the afternoon

2021-10-11

Systemic reaction (other): I have brain fog today - just cant get a clear head or thoughts. My lymph nodes under my left armpit are swollen and tender. Woke up feeling fluish but it went away when i was up and about

2021-10-12

Systemic reaction (other): Still have brain fog

2021-10-13

Systemic reaction (other): Still some brain fog

2021-10-14

Systemic reaction (other): Still have brain fog

Release 10 — day 7, dose 1

2021-10-15

Systemic reaction (other): Not sure if the nausea is from vaccine??

Release 10 — day 21, dose 1

2021-10-29

Symptoms: My brain fog has gotten worse. A few days ago I noticed my ears are ringing and/ or making a humming noise like tinnitus. I did not have this before the shot.

Release 10 — days 1–6 daily, dose 2

2021-11-02

Systemic reaction (other): I have extreme brain fog. I even feel pressure/inflammation in my head. The ringing/humming in my ears is worse today than it has been.

2021-11-03

Systemic reaction (other): Severe brain fog. My head feels swollen inside lots of pressure in the front of my head and eyes. I feel dizzy and lightheaded. Terrible headache that does not go away even with ibuprofen. Overall i feel fluish and sick.

2021-11-04

Systemic reaction (other): I feel light-headed. My chest feels weird like i have chest cold or pressure or bad heartburn. My resting hr bpm was 114 at 7am. My heart feels like its beating fast. I am shaky today. My hands are swollen can barely get my ring off. I dont feel rig cut off by CDC

2021-11-05

Systemic reaction (other): Still extreme brain fog. My neck muscles are sore and stiff.

2021-11-06

Systemic reaction (other): I have brain fog still. My ears are ringing- buzzing louder today. I was extremely tired today.

2021-11-07

Systemic reaction (other): Still struggling with brain fog and ringing and humming in ears

Release 10 — day 7, dose 2

2021-11-08

Systemic reaction (other): Brain fog and ears are still ringing and humming

Release 10 — day 21, dose 2

2021-11-22

Symptoms: I still have extreme brain fog. My recall and memory is slow. I feel inflammation in my head and body still

Release 10 — day 28, dose 2

2021-11-30

Symptoms: I still have brain fog. My ears are still ringing and now feel plugged like I'm in a tunnel. I can feel inflammation in my body and brain.

Release 10 — day 35, dose 2

2021-12-06

Symptoms: Stil struggle with brain fog and inflammation

Release 10 — day 42, dose 2

2021-12-14

Symptoms: Still have brain fog and ears are buzzing and humming.

Release 11 — 3 months, dose 2

2022-01-31

Symptoms: Contracted Covid jan 14th 2022 was very sick and am still experiencing symptoms

Release 11 — 6 months, dose 2

2022-05-04

Symptoms: Tinnitus and severe brain fog. I am having to see several specialists to help figure it out

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
SDBradyphrenia · · ✓
SDBrain fog · · ✓
SDCOVID-19 · · ✓
SDEar discomfort · · ✓
SDInflammation · · ✓
SDMalaise · · ✓
SDMemory impairment · · ✓
SDOffice visit · · ✓
SDTinnitus · · ✓
SROBrain fog · · ✓
SROChest discomfort · · ✓
SRODizziness · · ✓
SRODyspepsia · · ✓
SROFatigue · · ✓
SROFeeling abnormal · · ✓
SROHead discomfort · · ✓
SROHeadache · · ✓
SROHeart rate increased · · ✓
SROInflammation · · ✓
SROInfluenza · · ✓
SROInfluenza like illness · · ✓
SROInjection site pain · · ✓
SROLower respiratory tract infection · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROMalaise · · ✓
SROMusculoskeletal stiffness · · ✓
SROMyalgia · · ✓
SROOcular discomfort · · ✓
SROPeripheral swelling · · ✓
SROSelf-medication · · ✓
SROTinnitus · · ✓
SROTremor · · ✓
SROUnevaluable event · · ✓

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