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
-
2021-03-23
Dose 1 — Pfizer-BioNTech
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2021-04-13
Dose 2 — Pfizer-BioNTech
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2021-04-15
Registered in v-safe
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Cheilitis — Feeling: Fair · Site: ItchingFree text: Little bumps inside my upper lip.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Cheilitis — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree 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
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Glossodynia, Lip pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Tongue has a sore and upper lip has a few painful soresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Cheilitis, Tongue ulceration — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sores in my upper lip and tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Aphthous ulcer — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cancour sore on upper lip and tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
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2021-05-05
Survey response — day 21, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Two lumps under my left collar gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-11
- 2021-07-13
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2021-10-15
Survey response — 6 months, dose 2MedDRA: Jaw disorder, Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Inside right side of jaw. Nerve damage? Lymph nodes that were enlarged diminished in size but still presentMedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-18
- 2021-10-25
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2022-04-13
Survey response — 12 months, dose 2MedDRA: Oral pain, Skin fissures — Feeling: FairFree text: Inside of my cheeks have these fissures. Hurts if I inflate my cheeks.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-05 | Unsuccessful | |
| 2021-10-15 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Little bumps inside my upper lip.
Systemic reaction (other): Upper lip four bumps that have come to surface of lip and sore.
Systemic reaction (other): Tongue has a sore and upper lip has a few painful sores
Systemic reaction (other): Sores in my upper lip and tongue
Systemic reaction (other): Cancour sore on upper lip and tongue
Release 8 — day 21, dose 2
Symptoms: Two lumps under my left collar gone.
Release 10 — 6 months, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Jaw disorder | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Oral pain | · | · | ✓ |
| SD | Skin fissures | · | · | ✓ |
| SRO | Aphthous ulcer | ✓ | ✓ | ✓ |
| SRO | Cheilitis | ✓ | ✓ | ✓ |
| SRO | Glossodynia | ✓ | ✓ | ✓ |
| SRO | Lip pain | ✓ | ✓ | ✓ |
| SRO | Tongue ulceration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release