55T-17828-52555
2 vaccinations
5 coded responses
12 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 970 / OR
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Pfizer-BioNTech
-
2021-03-10
Registered in v-safe
-
2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Severe heartburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Oral pain — Feeling: Good · Joint pains, Muscle or body achesFree text: The roof of my mouth is sore like I just ate a big bowl of Capt. Crunch or something. It started the evening of the shot and now it's the whole roofMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite, Oral pain — Feeling: GoodFree text: The roof of my mouth is starting to clear up. At least I can eat now without causing too much pain though it is still sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Diarrhoea, Lip blister, Oral mucosal blistering — Feeling: Poor · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: The roof of my mouth is kind of clearing up but now my bottom lip is breaking out with little blisters. I've also had a terrible stomach ache today with loose bowels. Don't know if it has anything to do with the vaccine but thought it should be notedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Survey response — day 7, dose 1MedDRA: Lip blister, Oral pain — Feeling: GoodFree text: Mouth still a bit sore but getting better but now am getting a blister on my bottom lip. Again, I don't know if it has anything to do with getting the vaccine but I didn't have these before and I do nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Dose 2 — Pfizer-BioNTech
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-01
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-06-29
- 2021-09-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Pfizer-BioNTech | |
| 2 | 2021-03-30 | Pfizer-BioNTech |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Severe heartburn
Systemic reaction (other): The roof of my mouth is sore like I just ate a big bowl of Capt. Crunch or something. It started the evening of the shot and now it's the whole roof
Systemic reaction (other): The roof of my mouth is starting to clear up. At least I can eat now without causing too much pain though it is still sore.
Systemic reaction (other): The roof of my mouth is kind of clearing up but now my bottom lip is breaking out with little blisters. I've also had a terrible stomach ache today with loose bowels. Don't know if it has anything to do with the vaccine but thought it should be noted
Release 5 — day 7, dose 1
Systemic reaction (other): Mouth still a bit sore but getting better but now am getting a blister on my bottom lip. Again, I don't know if it has anything to do with getting the vaccine but I didn't have these before and I do now
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Lip blister | ✓ | ✓ | ✓ |
| SRO | Oral mucosal blistering | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release