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2EX-29978-04353

3 vaccinations 9 coded responses 38 check-ins 9 free-text entries 3 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
765 / TX
Registered
2021-03-09
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-09
    Registered in v-safe
  2. 2021-03-09
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-16
    Survey response — day 7, dose 1
    MedDRA: Chemotherapy — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Active chemo pt of 4 mon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-31
    Dose 2 — Pfizer-BioNTech
  14. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-14
    Survey response — day 14, dose 2
    MedDRA: Eye infection, Lymph node pain, Lymphadenopathy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Swollen painful lymph nodes in neck and under arm. Eye infection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-14
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-04-21
    Survey response — day 21, dose 2
    MedDRA: Eye infection, Herpes zoster, Musculoskeletal chest pain, Pulmonary pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Rt eye infection; shingles rt side of face. Left lung/rib pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-21
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-04-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-09-19
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  30. 2021-09-19
    Survey response — day 0, dose 3
    MedDRA: Lung neoplasm malignant — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Lung cancer
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-09-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  32. 2021-09-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Headache
    Free text: Also recd 65+ flu shot on 19 Sept 2021
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-09-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  34. 2021-09-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-09-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-09-26
    Survey response — day 7, dose 3
    MedDRA: Chemotherapy — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Chemo
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-10-03
    Survey response — day 14, dose 3
    MedDRA: Chemotherapy, Constipation, Hospitalisation, Pneumonia, Respiratory disorder, SARS-CoV-2 test negative, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Pneumonia, breathing issues, constipation, vomiting, probably from the new chemo taxotere and the next day after chemo shot. I've been in the hospital three days now. Tested neg for covid.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-10-03
    Report sent to call center — day 14, dose 3
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  39. 2021-10-04
  40. 2021-10-10
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  41. 2021-10-17
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  42. 2021-10-24
    Survey response — day 35, dose 3
    MedDRA: Chills, Dehydration, Hospitalisation, Pain in jaw, Pneumonia, Pre-existing disease — Feeling: Fair
    Free text: Painful Chills in both jaws throughout the day for no apparent reason, (the pain one feels with the first mouth of food). Finished 10 days of radiation recently for metastasis hip and rib lesions. Recent hosp.for pneumonia & dehydration.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2021-10-31
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2021-12-20
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-03-20
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-09-19
    Survey response — 12 months, dose 3
    MedDRA: Brain neoplasm malignant — Feeling: Good · Be unable to do your normal daily activities
    Free text: Brain cancer
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Pfizer-BioNTech
22021-03-31Pfizer-BioNTech
32021-09-19Pfizer-BioNTech Flu

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Active chemo pt of 4 mon

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Swollen painful lymph nodes in neck and under arm. Eye infection.

Release 7 — day 21, dose 2

2021-04-21

Symptoms: Rt eye infection; shingles rt side of face. Left lung/rib pain.

Release 9 — day 0, dose 3

2021-09-19

Systemic reaction (other): Lung cancer

Release 9 — days 1–6 daily, dose 3

2021-09-21

Systemic reaction (other): Also recd 65+ flu shot on 19 Sept 2021

Release 9 — day 7, dose 3

2021-09-26

Systemic reaction (other): Chemo

Release 9 — day 14, dose 3

2021-10-03

Symptoms: Pneumonia, breathing issues, constipation, vomiting, probably from the new chemo taxotere and the next day after chemo shot. I've been in the hospital three days now. Tested neg for covid.

Release 10 — day 35, dose 3

2021-10-24

Symptoms: Painful Chills in both jaws throughout the day for no apparent reason, (the pain one feels with the first mouth of food). Finished 10 days of radiation recently for metastasis hip and rib lesions. Recent hosp.for pneumonia & dehydration.

Release 12 — 12 months, dose 3

2022-09-19

Symptoms: Brain cancer

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
SDBrain neoplasm malignant · · ✓
SDChemotherapy · · ✓
SDChills · · ✓
SDConstipation · · ✓
SDDehydration · · ✓
SDEye infection ✓ ✓ ✓
SDHerpes zoster ✓ ✓ ✓
SDHospitalisation · · ✓
SDLymph node pain ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDPain in jaw · · ✓
SDPneumonia · · ✓
SDPre-existing disease · · ✓
SDPulmonary pain ✓ ✓ ✓
SDRespiratory disorder · · ✓
SDSARS-CoV-2 test negative · · ✓
SDVomiting · · ✓
SROChemotherapy ✓ ✓ ✓
SROLung neoplasm malignant · · ✓
SROUnevaluable event · · ✓

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