5MF-11872-71811
4 vaccinations
3 coded responses
9 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 150 / PA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Pfizer-BioNTech
-
2021-03-19
Dose 2 — Pfizer-BioNTech
-
2021-03-31
Registered in v-safe
-
2021-03-31
Health check-in — day 7, dose 2Feeling: Good · Chills · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-02
-
2021-04-09
Survey response — day 21, dose 2MedDRA: Gingival disorder, Lichen planus, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I doubt if this is related but a week after I received my first shot I noticed issues with my gums. Since then I have tentatively been diagnosed with lichen planar. Ive been using a topical steroid but it continues to worsen. thought Id mention · Healthcare visit (other): Dentist & Oral surgeonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-23
Survey response — day 35, dose 2MedDRA: Diarrhoea, Dysgeusia, Parosmia — Feeling: FairFree text: Thursday I had diarrhea all day. Also water seems to taste metallic. I seem to be smelling an odd smell as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
-
2021-06-21
Survey response — 3 months, dose 2MedDRA: Mucosal disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Ive been diagnosed with benign mucous membrane pemphigoid. · Healthcare visit (other): Periodontal in person visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-21
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-28
-
2021-08-18
Dose 3 — Pfizer-BioNTech
- 2021-09-17
-
2022-02-24
Dose 4 — Pfizer-BioNTech
- 2022-06-01
- 2022-08-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech | |
| 3 | 2021-08-18 | Pfizer-BioNTech | No |
| 4 | 2022-02-24 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 7 — day 21, dose 2
Symptoms: I doubt if this is related but a week after I received my first shot I noticed issues with my gums. Since then I have tentatively been diagnosed with lichen planar. Ive been using a topical steroid but it continues to worsen. thought Id mention
Healthcare visit (other): Dentist & Oral surgeon
Release 7 — day 35, dose 2
Symptoms: Thursday I had diarrhea all day. Also water seems to taste metallic. I seem to be smelling an odd smell as well.
Release 9 — 3 months, dose 2
Symptoms: Ive been diagnosed with benign mucous membrane pemphigoid.
Healthcare visit (other): Periodontal in person visit
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Gingival disorder | ✓ | ✓ | ✓ |
| SD | Lichen planus | ✓ | ✓ | ✓ |
| SD | Mucosal disorder | ✓ | ✓ | ✓ |
| SD | Parosmia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release