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ZTN-25307-37364

2 vaccinations 8 coded responses 11 check-ins 8 free-text entries 2 call cases
Sex
Male
Age at first dose
61-65
ZIP prefix
606 / IL
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-23
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-13
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-15
    Registered in v-safe
  4. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cheilitis — Feeling: Fair · Site: Itching
    Free text: Little bumps inside my upper lip.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cheilitis — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Upper lip four bumps that have come to surface of lip and sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Glossodynia, Lip pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Tongue has a sore and upper lip has a few painful sores
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cheilitis, Tongue ulceration — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sores in my upper lip and tongue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Cancour sore on upper lip and tongue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-05-05
    Survey response — day 21, dose 2
    MedDRA: Lymphadenopathy — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Two lumps under my left collar gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-05
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-05-11
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-07-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-10-15
    Survey response — 6 months, dose 2
    MedDRA: Jaw disorder, Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Inside right side of jaw. Nerve damage? Lymph nodes that were enlarged diminished in size but still present
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-10-15
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2021-10-18
  17. 2021-10-25
  18. 2022-04-13
    Survey response — 12 months, dose 2
    MedDRA: Oral pain, Skin fissures — Feeling: Fair
    Free text: Inside of my cheeks have these fissures. Hurts if I inflate my cheeks.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Pfizer-BioNTech
22021-04-13Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-05-05 Unsuccessful
2021-10-15 Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Little bumps inside my upper lip.

2021-04-16

Systemic reaction (other): Upper lip four bumps that have come to surface of lip and sore.

2021-04-17

Systemic reaction (other): Tongue has a sore and upper lip has a few painful sores

2021-04-18

Systemic reaction (other): Sores in my upper lip and tongue

2021-04-19

Systemic reaction (other): Cancour sore on upper lip and tongue

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Two lumps under my left collar gone.

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Inside right side of jaw. Nerve damage? Lymph nodes that were enlarged diminished in size but still present

Release 11 — 12 months, dose 2

2022-04-13

Symptoms: Inside of my cheeks have these fissures. Hurts if I inflate my cheeks.

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
SDJaw disorder · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDOral pain · · ✓
SDSkin fissures · · ✓
SROAphthous ulcer ✓ ✓ ✓
SROCheilitis ✓ ✓ ✓
SROGlossodynia ✓ ✓ ✓
SROLip pain ✓ ✓ ✓
SROTongue ulceration ✓ ✓ ✓

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