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2M5-11966-30442

1 vaccination 3 coded responses 3 check-ins 3 free-text entries 0 call cases
Sex
Male
Age at first dose
26-30
ZIP prefix
895 / NV
Registered
2021-03-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-21
    Registered in v-safe
  3. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oral pain — Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tiredness
    Free text: Roof of mouth/right corner of mouth is sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Gingival ulceration, Increased upper airway secretion, Lymphadenopathy, Oral pain, Tenderness — Feeling: Fair
    Free text: Mucus in throught, slight swelling of lymphnotes, area above gum behind right top side of molars has a slight ulcer almost like the tissue has slightly broken down. Sensative to eat in that area. Roof of mouth was sore two days ago and this current symptom appeared yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair
    Free text: Lymphnotes are still slightly swollen and right top side behind molar in mouth has an ulcer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Pfizer-BioNTech

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Roof of mouth/right corner of mouth is sore

2021-03-22

Systemic reaction (other): Mucus in throught, slight swelling of lymphnotes, area above gum behind right top side of molars has a slight ulcer almost like the tissue has slightly broken down. Sensative to eat in that area. Roof of mouth was sore two days ago and this current symptom appeared yesterday

2021-03-23

Systemic reaction (other): Lymphnotes are still slightly swollen and right top side behind molar in mouth has an ulcer

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
SROGingival ulceration ✓ ✓ ✓
SROIncreased upper airway secretion ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROTenderness ✓ ✓ ✓

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