2XJ-12600-96582

2 vaccinations 8 coded responses 15 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 046 / ME
Registered: 2021-03-21

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-21
Registered in v-safe
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Cold sore broke out on my left side of lower lip. Happened a few hours after vaccination. I havent had very many cold sores EVER.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Cold sore on left side of lower lip is getting better now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Cold sore/ possible fever blister on my lower left lip is still healing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Pyrexia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Felt feverish last night & bad headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Oral herpes — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Cold sore/ fever blister drying up now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 28, dose 2
MedDRA: Hypersensitivity — Feeling: Fair · Be unable to do your normal daily activities

Free text: Allergies...pretty sure it pollen from trees.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 35, dose 2
MedDRA: Chest pain, Diarrhoea, Malaise, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Two days ago I was very sick . Pain in my chest . Vomiting &diarrhea. Exhausted the second day. But now Im fine. Have felt better yesterday and today. Not sure what that was or where it came from.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-10
Survey response — 3 months, dose 2
MedDRA: Office visit, Pruritus, Rash, Self-medication — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: last 6 weeks or so I have had itching. Bumps like bites break out on my arms neck and tummy. Taken allergy medicine and put calamine lotion on the areas. It helps some . But comes back . Never had this before. Shots only thing different. · Healthcare visit (other): Going to dr. For exam because of itching areas.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-19
Call 1 — Left Voicemail
2021-07-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-09
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-10
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Cold sore broke out on my left side of lower lip. Happened a few hours after vaccination. I havent had very many cold sores EVER.

2021-03-22

Systemic reaction (other): Cold sore on left side of lower lip is getting better now.

2021-03-23

Systemic reaction (other): Cold sore/ possible fever blister on my lower left lip is still healing

2021-03-24

Systemic reaction (other): Felt feverish last night & bad headache

2021-03-25

Systemic reaction (other): Cold sore/ fever blister drying up now

Release 8 — day 28, dose 2

2021-05-08

Symptoms: Allergies...pretty sure it pollen from trees.

Release 8 — day 35, dose 2

2021-05-15

Symptoms: Two days ago I was very sick . Pain in my chest . Vomiting &diarrhea. Exhausted the second day. But now Im fine. Have felt better yesterday and today. Not sure what that was or where it came from.

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: last 6 weeks or so I have had itching. Bumps like bites break out on my arms neck and tummy. Taken allergy medicine and put calamine lotion on the areas. It helps some . But comes back . Never had this before. Shots only thing different.

Healthcare visit (other): Going to dr. For exam because of itching areas.

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
HCVO	Office visit	✓	✓	✓
HCVO	Pruritus	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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