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8JA-22719-35067

1 vaccination 4 coded responses 7 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
945 / CA
Registered
2021-08-28
Relationship
Adult relative or friend
Guardian
5UM-25113-40566
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-28
    Registered in v-safe
  2. 2021-08-28
    Dose 1 — Pfizer-BioNTech
  3. 2021-08-28
    Health check-in — day 0, dose 1, dependent
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  4. 2021-08-29
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Fatigue, Muscle spasms — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: Cramps, very tired.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  5. 2021-09-02
    Survey response — days 1–6 daily, dose 1, dependent
    MedDRA: Balance disorder, Brain fog, Dizziness, Hypogeusia, Hyposmia, Memory impairment — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend school, Be unable to do their normal daily activities
    Free text: Dizzy, off-balance, brain fog, forgetfulness, taste and smell coming back slow
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-09-06
    Survey response — day 7, dose 1, dependent
    MedDRA: Asthenia, Balance disorder, Brain fog, Gait disturbance, Vision blurred — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do their normal daily activities
    Free text: Brain fog, off balance, no energy, problems walking, blurred eyes
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-09-11
    Health check-in — day 14, dose 1, dependent
    Feeling: Fair
    Adult check-in
  8. 2022-02-26
  9. 2022-08-28
    Survey response — 12 months, dose 1, dependent
    MedDRA: Asthenia, Fatigue, Gait disturbance, Insomnia, Multiple sclerosis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Debilitating muscular sclerosis, difficultly walking, fatigue and insomnia.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-08-28Pfizer-BioNTech No

Free text

Release 9 — days 1–6 daily, dose 1, dependent

2021-08-29

Systemic reaction (other): Cramps, very tired.

2021-09-02

Systemic reaction (other): Dizzy, off-balance, brain fog, forgetfulness, taste and smell coming back slow

Release 9 — day 7, dose 1, dependent

2021-09-06

Systemic reaction (other): Brain fog, off balance, no energy, problems walking, blurred eyes

Release 12 — 12 months, dose 1, dependent

2022-08-28

Symptoms: Debilitating muscular sclerosis, difficultly walking, fatigue and insomnia.

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
SDAsthenia · · ✓
SDFatigue · · ✓
SDGait disturbance · · ✓
SDInsomnia · · ✓
SDMultiple sclerosis · · ✓
SROAsthenia · · ✓
SROBalance disorder ✓ · ✓
SROBrain fog ✓ · ✓
SRODizziness ✓ · ✓
SROFatigue ✓ · ✓
SROGait disturbance · · ✓
SROHypogeusia ✓ · ✓
SROHyposmia ✓ · ✓
SROMemory impairment ✓ · ✓
SROMuscle spasms ✓ · ✓
SROVision blurred · · ✓

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