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LQN-27953-75037

3 vaccinations 1 coded response 12 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
919 / CA
Registered
2021-12-07
Relationship
Adult relative or friend
Guardian
656-33078-10885
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-25
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-06
    Dose 3 — Pfizer-BioNTech
  4. 2021-12-07
    Registered in v-safe
  5. 2021-12-07
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-12-08
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · None
    Adult check-in
  7. 2021-12-10
    Health check-in — days 1–6 daily, dose 3, dependent
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-12-13
    Health check-in — day 7, dose 3, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-12-21
    Health check-in — day 14, dose 3, dependent
    Feeling: Good
    Adult check-in
  10. 2021-12-27
    Health check-in — day 21, dose 3, dependent
    Feeling: Good
    Adult check-in
  11. 2022-01-04
    Health check-in — day 28, dose 3, dependent
    Feeling: Good
    Adult check-in
  12. 2022-01-11
    Health check-in — day 35, dose 3, dependent
    Feeling: Good
    Adult check-in
  13. 2022-01-18
    Health check-in — day 42, dose 3, dependent
    Feeling: Good
    Adult check-in
  14. 2022-03-09
    Survey response — 3 months, dose 3, dependent
    MedDRA: Amnesia — Feeling: Good
    Free text: Memory loss
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-06-08
  16. 2022-12-09

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Pfizer-BioNTech No
22021-02-25Pfizer-BioNTech No
32021-12-06Pfizer-BioNTech No

Free text

Release 11 — 3 months, dose 3, dependent

2022-03-09

Symptoms: Memory loss

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
SDAmnesia · · ✓

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

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