L84-16853-87165
2 vaccinations
1 coded response
20 check-ins
1 free-text entry
0 call cases
- Sex
- Male
- Age at first dose
- 05-11
- ZIP prefix
- 752 / TX
- Registered
- 2021-11-11
- Relationship
- Child or adolescent in my care
- Guardian
- 43Y-20413-09258
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-11
Registered in v-safe
-
2021-11-11
Dose 1 — Pfizer-BioNTech
-
2021-11-11
Health check-in — day 0, dose 1, dependentFeeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
-
2021-11-13
Health check-in — days 1–6 daily, dose 1, dependentFeeling: Good · Site: Pain · Headache, Joint painsAdult check-in
- 2021-11-15
- 2021-11-16
- 2021-11-20
- 2021-11-25
- 2021-12-02
-
2021-12-03
Dose 2 — Pfizer-BioNTech
-
2021-12-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain · Headache, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-05
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Brain fog — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Brain fogMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-08
- 2021-12-10
- 2021-12-17
- 2021-12-26
- 2021-12-31
- 2022-01-07
- 2022-01-14
- 2022-03-04
- 2022-06-06
- 2022-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-11 | Pfizer-BioNTech | No |
| 2 | 2021-12-03 | Pfizer-BioNTech | No |
Free text
Release 10 — days 1–6 daily, dose 2, 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