4BN-34359-02172

5 vaccinations 10 coded responses 29 check-ins 7 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 380 / TN
Registered: 2021-02-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-01
Dose 1 — Pfizer-BioNTech
2021-02-06
Registered in v-safe
2021-02-09
Survey response — day 7, dose 1
MedDRA: Back injury — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: old back injury re-innured

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 7, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-02-23
Dose 2 — Pfizer-BioNTech
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Muscle or body aches · Be unable to work

Free text: COPD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-25
Survey response — 3 months, dose 2
MedDRA: Nasopharyngitis, Sinusitis — Feeling: Good · Be unable to do your normal daily activities

Free text: either a head cold or sinus infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-17
Call 1 — Left Voicemail
2021-08-16
Dose 3 — Pfizer-BioNTech
2021-08-24
Survey response — 6 months, dose 2
MedDRA: Lung neoplasm malignant, Office visit, Positron emission tomogram abnormal — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: pet scan indicates cancer in lungs. August 30 scheduled biopsy with cat scan at (b)(6) Center (b)(6). · Healthcare visit (other): multiple specialist visits

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-24
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-08-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-01
Survey response — day 42, dose 3
MedDRA: Lung adenocarcinoma stage IV, Metastases to bone, Metastases to lung, Metastases to spine, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: stage 4 adenocarsonoma of the lung soread to both lungs and bone of spine · Healthcare visit (other): face to face with oncologist

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Call 1 — Left Voicemail
2021-11-15
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-14
Survey response — 6 months, dose 3
MedDRA: Chemotherapy, Lung adenocarcinoma stage IV, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: stage 4B adenocarsonoma of the lung. chemotherapy for 6 months and keytruda monoclonal antibodies. Doing ok. · Healthcare visit (other): out patient blood transfusion

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-15
Call successful
Not applicable - Accidental Reporting
2022-02-15
Call successful
Not applicable - Accidental Reporting
2022-02-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-29
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-06-28
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-27
Survey response — 6 months, dose 4
MedDRA: Invasive ductal breast carcinoma, Pre-existing disease, Unevaluable event, Vertigo — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have recently Been diagnosed with invasive ductal breast cancer. This is in addition to having stage 4B adenocarcinoma of the lung. The two cancers are not related. I have also recently had bouts with vertigo. · Healthcare visit (other): Biopsy and new CAT scan

MedDRA releases: 2024-11 · check-in free text available
2022-09-27
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-01-07
Dose 5 — Pfizer-BioNTech
2023-01-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2023-01-12
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-01-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-01-14
Survey response — day 7, dose 5
MedDRA: Breast cancer, Night sweats — Feeling: Good

MedDRA releases: 2024-11
2023-01-21
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2023-01-28
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2023-02-04
Survey response — day 28, dose 5
MedDRA: Constipation — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-02-11
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2023-02-18
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-04-08
Survey response — 3 months, dose 5
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-08
Report sent to call center — 3 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-01	Pfizer-BioNTech
2	2021-02-23	Pfizer-BioNTech
3	2021-08-16	Pfizer-BioNTech	No
4	2022-03-29	Pfizer-BioNTech	No
5	2023-01-07	Pfizer-BioNTech	No

Call center

6 call center cases

5 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-02-09

Systemic reaction (other): old back injury re-innured

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): COPD

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: either a head cold or sinus infection

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: pet scan indicates cancer in lungs. August 30 scheduled biopsy with cat scan at (b)(6) Center (b)(6).

Healthcare visit (other): multiple specialist visits

redacted (b)(6)

Release 9 — day 42, dose 3

2021-10-01

Symptoms: stage 4 adenocarsonoma of the lung soread to both lungs and bone of spine

Healthcare visit (other): face to face with oncologist

Release 11 — 6 months, dose 3

2022-02-14

Symptoms: stage 4B adenocarsonoma of the lung. chemotherapy for 6 months and keytruda monoclonal antibodies. Doing ok.

Healthcare visit (other): out patient blood transfusion

Release 12 — 6 months, dose 4

2022-09-27

Symptoms: I have recently Been diagnosed with invasive ductal breast cancer. This is in addition to having stage 4B adenocarcinoma of the lung. The two cancers are not related. I have also recently had bouts with vertigo.

Healthcare visit (other): Biopsy and new CAT scan

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
HCVO	Office visit	✓	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Arthralgia	·	·	✓
SD	Chemotherapy	·	·	✓
SD	Constipation	·	·	✓
SD	Invasive ductal breast carcinoma	·	·	✓
SD	Lung adenocarcinoma stage IV	·	·	✓
SD	Lung neoplasm malignant	✓	·	✓
SD	Metastases to bone	·	·	✓
SD	Metastases to lung	·	·	✓
SD	Metastases to spine	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Positron emission tomogram abnormal	✓	·	✓
SD	Pre-existing disease	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Back injury	✓	✓	✓
SRO	Breast cancer	·	·	✓
SRO	Night sweats	·	·	✓
SRO	Pre-existing disease	✓	✓	✓

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