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
-
2021-03-19
Dose 1 — Pfizer-BioNTech
-
2021-03-21
Registered in v-safe
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Oral pain — Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tirednessFree text: Roof of mouth/right corner of mouth is soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Gingival ulceration, Increased upper airway secretion, Lymphadenopathy, Oral pain, Tenderness — Feeling: FairFree 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 yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: FairFree text: Lymphnotes are still slightly swollen and right top side behind molar in mouth has an ulcerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Roof of mouth/right corner of mouth is sore
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Gingival ulceration | ✓ | ✓ | ✓ |
| SRO | Increased upper airway secretion | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release