Z3F-22256-97489
1 vaccination
5 coded responses
6 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 346 / FL
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-05
Dose 1 — Pfizer-BioNTech
-
2021-04-08
Registered in v-safe
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Coating in mouth, Medical counselling, Pharyngeal erythema, Tongue coated — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): have a coat on tongue , roof of my mouth , throat very red · Healthcare visit (other): called family physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Coating in mouth, Medical counselling, Oral mucosal erythema, Pharyngeal erythema, Tongue coated, Tongue erythema — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): mouth is very red and coating on tongue and roof of mouth ... throat very red · Healthcare visit (other): Called family physician and waiting to see if i can do anything for it !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Coating in mouth, Lip swelling, Medical counselling, Office visit, Oral mucosal erythema — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): inside mouth is all red and coat on the top mouth .. lips are swollen · Healthcare visit (other): spoke to primary dr ..MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Lip swelling, Oral pain, Stomatitis — Feeling: FairFree text: mouth is very sore lips are swollen and mouth feels rawMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 7, dose 1MedDRA: Oral pain, Stomatitis — Feeling: FairFree text: Mouth still very raw and very sensitive to good and drinksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-08 | Unsuccessful | |
| 2021-04-09 | Unsuccessful | |
| 2021-04-10 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): have a coat on tongue , roof of my mouth , throat very red
Healthcare visit (other): called family physician
Systemic reaction (other): mouth is very red and coating on tongue and roof of mouth ... throat very red
Healthcare visit (other): Called family physician and waiting to see if i can do anything for it !
Systemic reaction (other): inside mouth is all red and coat on the top mouth .. lips are swollen
Healthcare visit (other): spoke to primary dr ..
Systemic reaction (other): mouth is very sore lips are swollen and mouth feels raw
Release 7 — day 7, dose 1
Systemic reaction (other): Mouth still very raw and very sensitive to good and drinks
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 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| SRO | Coating in mouth | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Oral mucosal erythema | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Pharyngeal erythema | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
| SRO | Tongue coated | ✓ | ✓ | ✓ |
| SRO | Tongue erythema | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release