6DU-32534-99742
2 vaccinations
13 coded responses
15 check-ins
13 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 541 / WI
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-22
Dose 1 — Pfizer-BioNTech
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2021-03-15
Registered in v-safe
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2021-03-15
Dose 2 — Pfizer-BioNTech
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2021-03-15
Survey response — day 0, dose 2MedDRA: Aphthous ulcer — Feeling: GoodFree text: Two canker sores since getting vaccine this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Aphthous ulcer — Feeling: Good · Site: Pain, RednessFree text: Canker sores in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Stomatitis — Feeling: Good · Site: PainFree text: Two sores in mouth. After first shot, I had bad brain fog for a week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Aphthous ulcer — Feeling: Good · Site: PainFree text: Canker sores in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Aphthous ulcer — Feeling: Good · Site: PainFree text: Canker sore inside mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Aphthous ulcer — Feeling: GoodFree text: Mouth canker soresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Aphthous ulcer, Oral pain — Feeling: Good · HeadacheFree text: Canker sores, mouth soresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — day 7, dose 2MedDRA: Aphthous ulcer, Feeling abnormal — Feeling: GoodFree text: Canker sore in mouth, since day of vaccination. Brain fog.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
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2021-04-05
Survey response — day 21, dose 2MedDRA: Bronchitis, Cough, Oropharyngeal pain, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Bronchitis, bad cough, sore throat · Healthcare visit (other): BothMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-12
Survey response — day 28, dose 2MedDRA: Cough, Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Out of breath a bit, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-19
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2021-04-28
Survey response — day 42, dose 2MedDRA: Palpitations — Feeling: GoodFree text: Heart races sometimes at nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-14
Survey response — 3 months, dose 2MedDRA: Palpitations — Feeling: GoodFree text: Racing heart or heart palpitations at night. Forgetfulness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-13
Survey response — 6 months, dose 2MedDRA: Memory impairment — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Short term memory seems to possibly be affected.MedDRA releases: 2024-11 · check-in free text available
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2021-09-13
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-14
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Pfizer-BioNTech | |
| 2 | 2021-03-15 | Pfizer-BioNTech |
Call center
3 call center cases
3 successful
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): Two canker sores since getting vaccine this morning
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Canker sores in mouth
Systemic reaction (other): Two sores in mouth. After first shot, I had bad brain fog for a week.
Systemic reaction (other): Canker sores in mouth
Systemic reaction (other): Canker sore inside mouth
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Mouth canker sores
Systemic reaction (other): Canker sores, mouth sores
Release 6 — day 7, dose 2
Systemic reaction (other): Canker sore in mouth, since day of vaccination. Brain fog.
Release 6 — day 21, dose 2
Release 7 — day 28, dose 2
Symptoms: Out of breath a bit, cough
Release 8 — day 42, dose 2
Symptoms: Heart races sometimes at night
Release 9 — 3 months, dose 2
Symptoms: Racing heart or heart palpitations at night. Forgetfulness.
Release 9 — 6 months, dose 2
Symptoms: Short term memory seems to possibly be affected.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Bronchitis | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SRO | Aphthous ulcer | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release