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
-
2020-12-16
Dose 1 — Pfizer-BioNTech
-
2021-01-06
Dose 2 — Pfizer-BioNTech
-
2021-01-26
Registered in v-safe
-
2021-01-26
Survey response — day 14, dose 2MedDRA: Gingivitis, Oral herpes, Stomatitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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 causMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-27
Survey response — day 21, dose 2MedDRA: 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 visitFree 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 complaintsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-03
- 2021-02-10
- 2021-04-09
- 2021-06-09
- 2021-07-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-16 | Pfizer-BioNTech | |
| 2 | 2021-01-06 | Pfizer-BioNTech |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — day 14, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Gingivitis | ✓ | ✓ | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | Stomatitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release