96M-11031-13712
3 vaccinations
2 coded responses
17 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 201 / VA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Pfizer-BioNTech
-
2021-01-23
Dose 2 — Pfizer-BioNTech
-
2021-01-24
Registered in v-safe
- 2021-01-24
-
2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Toothache — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Severe zinging teeth pain, like I have cavities in all of them at once. Pretty unbearable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-01-28
- 2021-01-29
-
2021-11-23
Dose 3 — Moderna
-
2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Pain in jaw — Feeling: Good · Site: Pain · NauseaFree text: I had headache/jaw pain for about 7 hours yesterdayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-30
- 2022-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Pfizer-BioNTech | |
| 2 | 2021-01-23 | Pfizer-BioNTech | |
| 3 | 2021-11-23 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Severe zinging teeth pain, like I have cavities in all of them at once. Pretty unbearable.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had headache/jaw pain for about 7 hours yesterday
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 |
|---|---|---|---|---|
| SRO | Headache | · | · | ✓ |
| SRO | Pain in jaw | · | · | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release