4VQ-33966-33758
2 vaccinations
7 coded responses
17 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 033 / NH
- Registered
- 2021-05-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-16
Dose 1 — Pfizer-BioNTech
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2021-05-28
Registered in v-safe
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2021-05-28
Survey response — day 7, dose 1MedDRA: Aphthous ulcer, Discomfort, Gingival ulceration, Noninfective gingivitis, Oral disorder, Self-medication — Feeling: FairFree text: On 5/23, I started having oral issues in my mouth. My gums are inflammed. I have a mouthful of cankersores. I have ulcers on my gums. I keep gargling with salt water and taking benadryl. Very uncomfortable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-30
- 2021-06-09
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2021-06-11
Dose 2 — Pfizer-BioNTech
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2021-06-13
Survey response — days 1–6 daily, dose 2MedDRA: Lip swelling, Self-medication, Swelling face — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: My bottom lip and bottom jaw are swollen. Taking benadryl after 4 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-14
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth, Stomatitis — Feeling: PoorFree text: My gums are inflamed. I have sores in my mourh and my mouth is very very dry.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Survey response — days 1–6 daily, dose 2MedDRA: Aphthous ulcer, Noninfective gingivitis — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: My gums are inflamed and have canker sores all over the mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Survey response — days 1–6 daily, dose 2MedDRA: Aphthous ulcer, Noninfective gingivitis — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Gums are inflamed with canker sores.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tirednessFree text: Gums are slowly improvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Survey response — day 7, dose 2MedDRA: Dry mouth, Noninfective gingivitis — Feeling: Fair · Headache, Fatigue or tirednessFree text: Gums still inflamed but sores are getting better....really bad dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-26
- 2021-07-02
- 2021-07-10
- 2021-07-16
- 2021-07-23
- 2021-09-10
- 2021-12-11
- 2022-06-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-16 | Pfizer-BioNTech | |
| 2 | 2021-06-11 | Pfizer-BioNTech |
Free text
Release 8 — day 7, dose 1
Systemic reaction (other): On 5/23, I started having oral issues in my mouth. My gums are inflammed. I have a mouthful of cankersores. I have ulcers on my gums. I keep gargling with salt water and taking benadryl. Very uncomfortable.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): My bottom lip and bottom jaw are swollen. Taking benadryl after 4 hours.
Systemic reaction (other): My gums are inflamed. I have sores in my mourh and my mouth is very very dry.
Systemic reaction (other): My gums are inflamed and have canker sores all over the mouth
Systemic reaction (other): Gums are inflamed with canker sores.
Systemic reaction (other): Gums are slowly improving
Release 9 — day 7, dose 2
Systemic reaction (other): Gums still inflamed but sores are getting better....really bad dry mouth
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 | Aphthous ulcer | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Gingival ulceration | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Noninfective gingivitis | ✓ | ✓ | ✓ |
| SRO | Oral disorder | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release