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ZFR-21744-63537

3 vaccinations 7 coded responses 26 check-ins 7 free-text entries 6 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
305 / GA
Registered
2021-01-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-10
    Registered in v-safe
  3. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  4. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Mouth ulceration — Feeling: Good · Site: Pain
    Free text: Mouth ulcer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-13
    Survey response — day 7, dose 1
    MedDRA: Gingival swelling, Office visit, Ulcer — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Reported ulcer and mild gum swelling for 7days · Healthcare visit (other): Dentist-and found no explainable reason for symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-13
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-01-20
    Survey response — day 14, dose 1
    MedDRA: Gingival swelling, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: 2 days after vaccine experienced swelling of gums persistent enough to visit a dentist that could find no cause of the swelling. Just in last day im starting to feel better not 100% though. · Healthcare visit (other): Dentist and Dr
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-20
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-01-27
    Dose 2 — Pfizer-BioNTech
  11. 2021-01-27
    Survey response — day 0, dose 2
    MedDRA: Gingival swelling, Office visit — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Gum swelling · Healthcare visit (other): Dentist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-27
    Report sent to call center — day 0, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  14. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gingival swelling, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Gum swelling · Healthcare visit (other): Been to dentist, and spoke with dr.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-29
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gingival swelling, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Gum swelling · Healthcare visit (other): Dentist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-30
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gingival swelling, Specialist consultation — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Still gum swelling · Healthcare visit (other): Ive seen dentist twice in the past month
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-01
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-02-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-04
  24. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-30
    Dose 3 — Pfizer-BioNTech
  27. 2021-09-30
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  28. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  29. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-10-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-04
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-11
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-03-31
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-09-30
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Pfizer-BioNTech
22021-01-27Pfizer-BioNTech
32021-09-30Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-01-13 Unsuccessful
2021-01-20 Unsuccessful
2021-01-27 Unsuccessful
2021-01-29 Unsuccessful
2021-01-30 Unsuccessful
2021-02-01 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-11

Systemic reaction (other): Mouth ulcer

Release 1 — day 7, dose 1

2021-01-13

Systemic reaction (other): Reported ulcer and mild gum swelling for 7days
Healthcare visit (other): Dentist-and found no explainable reason for symptoms

Release 2 — day 14, dose 1

2021-01-20

Symptoms: 2 days after vaccine experienced swelling of gums persistent enough to visit a dentist that could find no cause of the swelling. Just in last day im starting to feel better not 100% though.
Healthcare visit (other): Dentist and Dr

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): Gum swelling
Healthcare visit (other): Dentist

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Gum swelling
Healthcare visit (other): Been to dentist, and spoke with dr.

2021-01-30

Systemic reaction (other): Gum swelling
Healthcare visit (other): Dentist

2021-02-01

Systemic reaction (other): Still gum swelling
Healthcare visit (other): Ive seen dentist twice in the past month

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOSpecialist consultation ✓ ✓ ✓
SDGingival swelling ✓ ✓ ✓
SROGingival swelling ✓ ✓ ✓
SROMouth ulceration ✓ ✓ ✓
SROUlcer ✓ ✓ ✓

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

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