6U2-20508-52387

3 vaccinations 9 coded responses 28 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 046 / ME
Registered: 2021-03-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-06
Registered in v-safe
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-08
Survey response — day 7, dose 1
MedDRA: Emergency care, Medical counselling, Oral herpes, Rash — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Vaccination 3/1. Rash appeared on face ~days ago after having 2 large cold sores begin/quickly recede. Out of state GP advised me to seek medical advice. Went to hospital. NP indicated it was likely related to the Covid vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-24
Survey response — day 21, dose 1
MedDRA: Mouth swelling, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: The rash on my face has mostly gone away. But I have swelling inside of my mouth, behind the lips. Doctor prescribed an EpiPen just in case I swell up not only in the mouth but throat after the second vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Dose 2 — Pfizer-BioNTech
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lip swelling, Rash — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Swelling of lips. Rash developed near sight of swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Lip swelling, Mouth swelling, Rash — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lip/inside mouth swelling The same as yesterday. The rash is increased slightly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lip swelling — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Swelling in mouth behind lips continues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Mouth swelling — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Swelling inside of mouth behind upper and lower lips.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lip swelling, Mouth swelling — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Still have swelling inside of the mouth, in front of upper and lower lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 2
MedDRA: Mouth swelling, Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Still have face rash but improving. Swelling inside mouth behind both lips slightly improving.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Survey response — day 7, dose 3
MedDRA: Injection site rash — Feeling: Good

Free text: I did initially have a rash at the vaccination site after I got the booster.. but that went away after a few days.

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-12
Call 1 — Left Voicemail
2021-10-12
Call successful
Does not wish to fill out VAERS report
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-28
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-27
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-26	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-08

Systemic reaction (other): Vaccination 3/1. Rash appeared on face ~days ago after having 2 large cold sores begin/quickly recede. Out of state GP advised me to seek medical advice. Went to hospital. NP indicated it was likely related to the Covid vaccine.

Release 6 — day 21, dose 1

2021-03-24

Symptoms: The rash on my face has mostly gone away. But I have swelling inside of my mouth, behind the lips. Doctor prescribed an EpiPen just in case I swell up not only in the mouth but throat after the second vaccination.

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Swelling of lips. Rash developed near sight of swelling

2021-03-28

Systemic reaction (other): Lip/inside mouth swelling The same as yesterday. The rash is increased slightly.

2021-03-30

Systemic reaction (other): Swelling in mouth behind lips continues.

2021-03-31

Systemic reaction (other): Swelling inside of mouth behind upper and lower lips.

2021-04-01

Systemic reaction (other): Still have swelling inside of the mouth, in front of upper and lower lips

Release 6 — day 7, dose 2

2021-04-02

Systemic reaction (other): Still have face rash but improving. Swelling inside mouth behind both lips slightly improving.

Release 9 — day 7, dose 3

2021-10-04

Systemic reaction (other): I did initially have a rash at the vaccination site after I got the booster.. but that went away after a few days.

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	Mouth swelling	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Injection site rash	·	·	✓
SRO	Lip swelling	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Mouth swelling	✓	✓	✓
SRO	Oral herpes	✓	✓	✓
SRO	Rash	✓	✓	✓

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