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59J-98274-93217

2 vaccinations 2 coded responses 5 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
081 / NJ
Registered
2021-01-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-16
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-06
    Dose 2 — Pfizer-BioNTech
  3. 2021-01-26
    Registered in v-safe
  4. 2021-01-26
    Survey response — day 14, dose 2
    MedDRA: Gingivitis, Oral herpes, Stomatitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Unexplained onset of acute herpetic ulcerative gingivitis and stomatitis. Ive never had cold sore or HSV in past. I had Covid in 4/20 and concerned this along with vaccine initiated an unforeseen immune response. No risk factors or underlying caus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-26
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-01-27
    Survey response — day 21, dose 2
    MedDRA: Stomatitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Still concerned of adverse inflammatory/immune response from vaccine causing acute onset of viral gingivitis stomatitis but maybe its unrelated. Keep me in mind if you start to get other complaints
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-27
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-02-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-02-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-09
  11. 2021-06-09
  12. 2021-07-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-16Pfizer-BioNTech
22021-01-06Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 14, dose 2

2021-01-26

Symptoms: Unexplained onset of acute herpetic ulcerative gingivitis and stomatitis. Ive never had cold sore or HSV in past. I had Covid in 4/20 and concerned this along with vaccine initiated an unforeseen immune response. No risk factors or underlying caus

Release 2 — day 21, dose 2

2021-01-27

Symptoms: Still concerned of adverse inflammatory/immune response from vaccine causing acute onset of viral gingivitis stomatitis but maybe its unrelated. Keep me in mind if you start to get other complaints

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
SDGingivitis ✓ ✓ ✓
SDOral herpes ✓ ✓ ✓
SDStomatitis ✓ ✓ ✓

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