UBV-29500-14748

3 vaccinations 11 coded responses 24 check-ins 11 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 974 / OR
Registered: 2021-06-13

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

2021-06-13
Registered in v-safe
2021-06-13
Dose 1 — Pfizer-BioNTech
2021-06-13
Health check-in — day 0, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to work or attend school

Adult check-in
2021-06-15
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Hyperhidrosis — Feeling: Fair · Chills, Headache, Fatigue or tiredness

Free text: I have had sweating and brain fog since Monday which I forgot to report

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-06-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-06-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-05
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-07-10
Dose 2 — Pfizer-BioNTech
2021-07-10
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Dizziness, Vision blurred — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Light headed, blurry vision, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Decreased appetite, Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: brain fog, light headed, loss of apetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Dizziness, Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen lymph nodes on my neck and in armpit area, light headed, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Lymphadenopathy — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen lymph nodes, brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-17
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-07-31
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-08-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2022-01-07
Dose 3 — Moderna
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Impaired work ability, Memory impairment — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I feel like the series of vaccines has affected my working memory and ability to plan long term

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Survey response — days 1–6 daily, dose 3
MedDRA: Hyperhidrosis, Night sweats, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school

Free text: Lymph nodes in armpit and night/day sweats since day after booster sweats

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school

Free text: Brain fog every single day

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-01-14
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-01-28
Survey response — day 21, dose 3
MedDRA: Depressed mood, Fatigue, Irritability, Pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Irritable, extreme fatigue, poor mood, itching

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-13	Pfizer-BioNTech
2	2021-07-10	Pfizer-BioNTech	No
3	2022-01-07	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-15

Systemic reaction (other): brain fog

2021-06-16

Systemic reaction (other): I have had sweating and brain fog since Monday which I forgot to report

Release 9 — day 0, dose 2

2021-07-10

Systemic reaction (other): Light headed

Release 9 — days 1–6 daily, dose 2

2021-07-11

Systemic reaction (other): Light headed, blurry vision, brain fog

2021-07-12

Systemic reaction (other): brain fog, light headed, loss of apetite

2021-07-13

Systemic reaction (other): Swollen lymph nodes on my neck and in armpit area, light headed, brain fog

2021-07-14

Systemic reaction (other): Swollen lymph nodes, brain fog

Release 10 — days 1–6 daily, dose 3

2022-01-08

Systemic reaction (other): I feel like the series of vaccines has affected my working memory and ability to plan long term

2022-01-10

Systemic reaction (other): Lymph nodes in armpit and night/day sweats since day after booster sweats

2022-01-11

Systemic reaction (other): Brain fog every single day

Release 11 — day 21, dose 3

2022-01-28

Symptoms: Irritable, extreme fatigue, poor mood, itching

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	Depressed mood	·	·	✓
SD	Fatigue	·	·	✓
SD	Irritability	·	·	✓
SD	Pruritus	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Impaired work ability	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Memory impairment	·	·	✓
SRO	Night sweats	·	·	✓
SRO	Unevaluable event	·	·	✓
SRO	Vision blurred	✓	✓	✓

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