Y3Y-93332-62729

2 vaccinations 8 coded responses 25 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 012 / MA
Registered: 2021-06-23

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-06-23
Registered in v-safe
2021-06-23
Dose 1 — Pfizer-BioNTech
2021-06-23
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-06-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-06-25
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Noninfective gingivitis, Pain in extremity, Paraesthesia oral, Pre-existing disease — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Inflammation of the gums, its an autoimmune flare up that has happened once before but I believe its related.. as pain decreases from my arm the tingling and inflammation in my gums came on

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Chest discomfort, Dehydration, Oral mucosal eruption — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Feeling the rash in my mouth, very dehydrated, and a heavy heart, lots of sensitivity and sense of doom

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dry mouth, Fatigue, Feeling abnormal, Noninfective gingivitis, Oral mucosal eruption, Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Rash/inflammation in gums persists, very dry mouth, very tired and spacey feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort, Dry mouth, Fatigue, Noninfective gingivitis — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Really dry inflamed gums, dry mouth even when fully hydrated, heavy and tired feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Fatigue, Noninfective gingivitis — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Dry mouth, inflamed gums, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Survey response — day 7, dose 1
MedDRA: Dry mouth, Fatigue, Noninfective gingivitis — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Gums inflamed, /dry mouth, finally feels a little less so than before; fatigue way more than is normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-07-14
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-07-21
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-07-26
Dose 2 — Pfizer-BioNTech
2021-07-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-07-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-02
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-16
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper — Feeling: Good

Free text: Stomach cramps

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-25
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-01-24
Survey response — 6 months, dose 2
MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Had Covid in December - checked boxes apply to about 5 days

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-23	Pfizer-BioNTech	No
2	2021-07-26	Pfizer-BioNTech	No

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-25

Systemic reaction (other): Inflammation of the gums, its an autoimmune flare up that has happened once before but I believe its related.. as pain decreases from my arm the tingling and inflammation in my gums came on

2021-06-26

Systemic reaction (other): Feeling the rash in my mouth, very dehydrated, and a heavy heart, lots of sensitivity and sense of doom

2021-06-27

Systemic reaction (other): Rash/inflammation in gums persists, very dry mouth, very tired and spacey feeling

2021-06-28

Systemic reaction (other): Really dry inflamed gums, dry mouth even when fully hydrated, heavy and tired feeling

2021-06-29

Systemic reaction (other): Dry mouth, inflamed gums, fatigue

Release 9 — day 7, dose 1

2021-06-30

Systemic reaction (other): Gums inflamed, /dry mouth, finally feels a little less so than before; fatigue way more than is normal

Release 9 — day 21, dose 2

2021-08-16

Symptoms: Stomach cramps

Release 11 — 6 months, dose 2

2022-01-24

Symptoms: Had Covid in December - checked boxes apply to about 5 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	Abdominal pain upper	✓	·	✓
SD	COVID-19	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Cough	✓	✓	○
SRO	Dehydration	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Noninfective gingivitis	✓	✓	✓
SRO	Oral mucosal eruption	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Rash	✓	✓	○

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