ZDR-33349-56462

3 vaccinations 10 coded responses 22 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 381 / TN
Registered: 2020-12-19

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-19
Registered in v-safe
2020-12-19
Survey response — days 1–6 daily, dose 1
MedDRA: Immediate post-injection reaction, Lip haemorrhage, Paraesthesia oral, Stomatitis, Tongue discomfort — Feeling: Good

Free text: My lips felt slightly tingly within 1hr of taking the injection but never were swollen. Approximately 2 hours after taking the injection I had a spot on my lip that was bleeding and bled on and off for about 12 hours. I also have irritated area in the inside of my mouth around my lips. The tip of my tongue feels like it was burned with hot coffee

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-20
Survey response — days 1–6 daily, dose 1
MedDRA: Stomatitis, Tongue blistering — Feeling: Good

Free text: Tip of my Tongue still feels a little I drank a cup of coffee that was too hot and kind of blistered it. Also still a little irritation in my mouth around the inside of my lips. But even more mild today and does not hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-23
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good · Headache, Muscle or body aches

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Survey response — day 7, dose 1
MedDRA: Eye pain, Periorbital swelling — Feeling: Good

Free text: I have had puffiness and tenderness under my left eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Survey response — day 14, dose 1
MedDRA: Body temperature increased, Decreased appetite, Diarrhoea, Headache, Pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: 10 days after vaccine had headache, body aches, 100.5 temp, loss of appetite, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-08
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lip swelling, Stomatitis — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: A little bit of lip swelling and mucosal irritation inside my mouth behind my lips.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Survey response — days 1–6 daily, dose 2
MedDRA: Cheilitis, Stomatitis — Feeling: Good

Free text: Irritation inside my mouth behind my lips on top and bottom

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-25
Call 1 — Left Voicemail
2021-01-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-12
Survey response — day 35, dose 2
MedDRA: Arthralgia — Feeling: Good

Free text: My shoulder joint in the arm I got the vaccine has been sore the past week. Sore to lift and move around.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — day 42, dose 2
MedDRA: Arthralgia, Back pain, Injection site pain — Feeling: Good

Free text: soreness on my arm near injection site and more soreness in my shoulder and back on that side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Dose 3 — Pfizer-BioNTech
2022-01-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-01-11
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-15
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech
3	2021-10-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-01	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-19

Systemic reaction (other): My lips felt slightly tingly within 1hr of taking the injection but never were swollen. Approximately 2 hours after taking the injection I had a spot on my lip that was bleeding and bled on and off for about 12 hours. I also have irritated area in the inside of my mouth around my lips. The tip of my tongue feels like it was burned with hot coffee

2020-12-20

Systemic reaction (other): Tip of my Tongue still feels a little I drank a cup of coffee that was too hot and kind of blistered it. Also still a little irritation in my mouth around the inside of my lips. But even more mild today and does not hurt

2020-12-23

Systemic reaction (other): Runny nose

2020-12-24

Systemic reaction (other): Runny nose

Release 1 — day 7, dose 1

2020-12-25

Systemic reaction (other): I have had puffiness and tenderness under my left eye

Release 1 — day 14, dose 1

2021-01-01

Symptoms: 10 days after vaccine had headache, body aches, 100.5 temp, loss of appetite, diarrhea

Release 1 — days 1–6 daily, dose 2

2021-01-09

Systemic reaction (other): A little bit of lip swelling and mucosal irritation inside my mouth behind my lips.

2021-01-11

Systemic reaction (other): Irritation inside my mouth behind my lips on top and bottom

Release 4 — day 35, dose 2

2021-02-12

Symptoms: My shoulder joint in the arm I got the vaccine has been sore the past week. Sore to lift and move around.

Release 4 — day 42, dose 2

2021-02-19

Symptoms: soreness on my arm near injection site and more soreness in my shoulder and back on that side

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	Arthralgia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Cheilitis	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lip haemorrhage	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Periorbital oedema	○	○	○
SRO	Periorbital pain	○	○	○
SRO	Periorbital swelling	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Stomatitis	✓	✓	✓
SRO	Tongue blistering	✓	✓	✓
SRO	Tongue discomfort	✓	✓	✓

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