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XYJ-61541-40820

2 vaccinations 3 coded responses 5 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
546 / WI
Registered
2021-02-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-29
    Dose 2 — Pfizer-BioNTech
  3. 2021-02-27
    Registered in v-safe
  4. 2021-03-01
    Survey response — 28 day, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-03-06
    Health check-in — 35 day, dose 2
    Feeling: Fair
    Adult check-in
  6. 2021-03-14
    Survey response — 42 day, dose 2
    MedDRA: Oral discomfort, Rash — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  7. 2021-05-04
    Survey response — 3 month, dose 2
    MedDRA: Abnormal menstrual clots, Herpes zoster, Oral discomfort, Stomatitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  8. 2021-05-04
    Report sent to call center — 3 month, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-08-01
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  10. 2022-04-29

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Pfizer-BioNTech
22021-01-29Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-05-04 Unsuccessful

Free text

Release 4

Symptoms: after my first shot i was experiencing burning mouth syndrome. i received blood tests that were all normal. it worsened througout January and February. im finally starting to have some relief.

Release 5

Symptoms: a small rash on my face and continued burning mouth. see my pcp on tuesday

Release 8

Symptoms: unfortunately im used to the burning mouth. intermittent sores in mouth. diagnosed with shingles last month. now huge clots with menstrual cycle. spent over $1000 on blood tests with not really any answers except the only thing new is the vaccine.. cut off by CDC

Free-text releases are not linked to a specific 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
SDAbnormal menstrual clots ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDHerpes zoster ✓ ✓ ✓
SDOral discomfort ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDStomatitis ✓ ✓ ✓

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