3XL-15031-66126
3 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 820 / WY
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
CUT-13977-19615
Child or adolescent in my care · Female · 2022-06-24
5JG-63038-71224
Child or adolescent in my care · Male · 2022-06-24
Timeline
-
2021-01-20
Dose 1 — Pfizer-BioNTech
-
2021-01-21
Registered in v-safe
-
2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pain in extremity, Unevaluable event — Feeling: Good · Site: Pain, ItchingFree text: Unknown if related but felt a twinge in the clavicle area. First day it was in the same arm, second day opposite arm. A day after shot its a non issue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
-
2021-02-03
Survey response — day 14, dose 1MedDRA: Tongue discomfort — Feeling: GoodFree text: Not sure if shot related but noticed two days ago a weird feeling on my tongue. Almost like a tingle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
-
2021-02-12
Dose 2 — Pfizer-BioNTech
-
2021-02-19
Survey response — day 7, dose 2MedDRA: Jaw disorder, Paraesthesia, Vaccine positive rechallenge — Feeling: Good · Site: PainFree text: After first shot I noticed pins and needles feeling in top of my tongue and chin jawline area it lessened week 2 going into week 3 then I got 2nd shot and again same feeling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-07
- 2021-03-12
- 2021-03-20
- 2021-03-26
- 2021-05-14
- 2021-08-13
-
2021-11-24
Dose 3 — Pfizer-BioNTech
- 2022-02-12
- 2022-11-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-11-24 | Pfizer-BioNTech | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Unknown if related but felt a twinge in the clavicle area. First day it was in the same arm, second day opposite arm. A day after shot its a non issue.
Release 3 — day 14, dose 1
Symptoms: Not sure if shot related but noticed two days ago a weird feeling on my tongue. Almost like a tingle.
Release 4 — day 7, dose 2
Systemic reaction (other): After first shot I noticed pins and needles feeling in top of my tongue and chin jawline area it lessened week 2 going into week 3 then I got 2nd shot and again same feeling.
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 | Tongue discomfort | ✓ | ✓ | ✓ |
| SRO | Jaw disorder | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release