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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

  1. 2021-05-16
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-28
    Registered in v-safe
  3. 2021-05-28
    Survey response — day 7, dose 1
    MedDRA: Aphthous ulcer, Discomfort, Gingival ulceration, Noninfective gingivitis, Oral disorder, Self-medication — Feeling: Fair
    Free 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
  4. 2021-05-30
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-06-09
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-06-11
    Dose 2 — Pfizer-BioNTech
  7. 2021-06-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lip swelling, Self-medication, Swelling face — Feeling: Fair · Headache · Be unable to do your normal daily activities
    Free 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
  8. 2021-06-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry mouth, Stomatitis — Feeling: Poor
    Free 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
  9. 2021-06-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer, Noninfective gingivitis — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: My gums are inflamed and have canker sores all over the mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer, Noninfective gingivitis — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Gums are inflamed with canker sores.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Gums are slowly improving
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-06-18
    Survey response — day 7, dose 2
    MedDRA: Dry mouth, Noninfective gingivitis — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Gums still inflamed but sores are getting better....really bad dry mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-06-26
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-07-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-07-10
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-07-16
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-07-23
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-09-10
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-12-11
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  20. 2022-06-12
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-16Pfizer-BioNTech
22021-06-11Pfizer-BioNTech

Free text

Release 8 — day 7, dose 1

2021-05-28

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

2021-06-13

Systemic reaction (other): My bottom lip and bottom jaw are swollen. Taking benadryl after 4 hours.

2021-06-14

Systemic reaction (other): My gums are inflamed. I have sores in my mourh and my mouth is very very dry.

2021-06-15

Systemic reaction (other): My gums are inflamed and have canker sores all over the mouth

2021-06-16

Systemic reaction (other): Gums are inflamed with canker sores.

2021-06-17

Systemic reaction (other): Gums are slowly improving

Release 9 — day 7, dose 2

2021-06-18

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

FieldPreferred term2021-092023-042024-11
SROAphthous ulcer ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SRODry mouth ✓ ✓ ✓
SROGingival ulceration ✓ ✓ ✓
SROLip swelling ✓ ✓ ✓
SRONoninfective gingivitis ✓ ✓ ✓
SROOral disorder ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROStomatitis ✓ ✓ ✓
SROSwelling face ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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