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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

  1. 2021-02-22
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-15
    Registered in v-safe
  3. 2021-03-15
    Dose 2 — Pfizer-BioNTech
  4. 2021-03-15
    Survey response — day 0, dose 2
    MedDRA: Aphthous ulcer — Feeling: Good
    Free text: Two canker sores since getting vaccine this morning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer — Feeling: Good · Site: Pain, Redness
    Free text: Canker sores in mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Stomatitis — Feeling: Good · Site: Pain
    Free 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
  7. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer — Feeling: Good · Site: Pain
    Free text: Canker sores in mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer — Feeling: Good · Site: Pain
    Free text: Canker sore inside mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer — Feeling: Good
    Free text: Mouth canker sores
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer, Oral pain — Feeling: Good · Headache
    Free text: Canker sores, mouth sores
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-22
    Survey response — day 7, dose 2
    MedDRA: Aphthous ulcer, Feeling abnormal — Feeling: Good
    Free text: Canker sore in mouth, since day of vaccination. Brain fog.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-05
    Survey response — day 21, dose 2
    MedDRA: 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 visit
    Free text: Symptoms: Bronchitis, bad cough, sore throat · Healthcare visit (other): Both
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-05
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-04-12
    Survey response — day 28, dose 2
    MedDRA: 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 visit
    Free text: Out of breath a bit, cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-12
    Report sent to call center — day 28, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-04-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-28
    Survey response — day 42, dose 2
    MedDRA: Palpitations — Feeling: Good
    Free text: Heart races sometimes at night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-14
    Survey response — 3 months, dose 2
    MedDRA: Palpitations — Feeling: Good
    Free text: Racing heart or heart palpitations at night. Forgetfulness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-09-13
    Survey response — 6 months, dose 2
    MedDRA: 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 visit
    Free text: Short term memory seems to possibly be affected.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-09-13
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-09-14
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-22Pfizer-BioNTech
22021-03-15Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — day 0, dose 2

2021-03-15

Systemic reaction (other): Two canker sores since getting vaccine this morning

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Canker sores in mouth

2021-03-17

Systemic reaction (other): Two sores in mouth. After first shot, I had bad brain fog for a week.

2021-03-18

Systemic reaction (other): Canker sores in mouth

2021-03-19

Systemic reaction (other): Canker sore inside mouth

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Mouth canker sores

2021-03-21

Systemic reaction (other): Canker sores, mouth sores

Release 6 — day 7, dose 2

2021-03-22

Systemic reaction (other): Canker sore in mouth, since day of vaccination. Brain fog.

Release 6 — day 21, dose 2

2021-04-05

Symptoms: Bronchitis, bad cough, sore throat
Healthcare visit (other): Both

Release 7 — day 28, dose 2

2021-04-12

Symptoms: Out of breath a bit, cough

Release 8 — day 42, dose 2

2021-04-28

Symptoms: Heart races sometimes at night

Release 9 — 3 months, dose 2

2021-06-14

Symptoms: Racing heart or heart palpitations at night. Forgetfulness.

Release 9 — 6 months, dose 2

2021-09-13

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDBronchitis ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDMemory impairment · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SROAphthous ulcer ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROStomatitis ✓ ✓ ✓

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