5TD-25419-96834

4 vaccinations 10 coded responses 28 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 993 / WA
Registered: 2021-03-20

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain

Free text: Mild upper arm ache around injection site like flu to tetanus vaccines would ache, still ache 18 hrs post

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Dyspnoea, Haemoptysis, Medical counselling, Pre-existing disease — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Sob, cough up dime size fresh blood, new, chronic severe lung disease patient, blood has been at bay since 2017. Dr notified, CT ordered, last one 6 mos ago anyway, maybe vaccyine set off increase in chronic lung inflammation?? Probably unrelated, just poor timing · Healthcare visit (other): Calls and emails to established pulmonologist, ct and sputum cultures ordered

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Haemoptysis, Medical counselling, Pre-existing disease, Vaccine positive rechallenge — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Shortness of breath, hemoptyosis, dr had thought maybe tied w vaccines, occurred w first... not so sure? Severe lung disease patient, these symptoms tho had been calm for some time · Healthcare visit (other): Emails, increase prednisone doses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

no matching call case
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea — Feeling: Fair

Free text: Cough, shortness of breath. Both somewhat better, no hemoptyosis after 30 hrs increased more high dose prednisone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Steroid therapy — Feeling: Fair

Free text: Continued sob, no hemoptyosis, still treating with higher does prednisone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — day 7, dose 2
MedDRA: Dyspnoea — Feeling: Fair

Free text: Just the continued sob, still on extra course of higher dose prednisone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-15
Dose 3 — Pfizer-BioNTech
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Lung disorder, Lung opacity, Medical counselling, Office visit, Pneumonia bacterial, Pneumonia fungal, Pre-existing disease, Pulmonary mass, Telemedicine — Feeling: Poor · 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: Serve lung diseases have taken a bad turn down. New cavitary lesion, both lungs covered with opacities, bacteria and 2 fungi growing, 1 of which we've surgically treated and I've brn treating specifically targeting since 2016. · Healthcare visit (other): Multiple specialists virtual and numerous calls, emails, bronchoscoscopy,.

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Report sent to call center — 6 months, dose 2
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)
2021-10-11
Call successful
Participant prefers to complete VAERS report online
2022-04-10
Survey response — 12 months, dose 2
MedDRA: Hospitalisation, Pneumonia — 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, Emergency room or emergency department visit, Hospitalization

Free text: Pneumonias repeatedly, hospitalized twice.

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-14
Call 1 — Left Voicemail
2022-04-16
Dose 4 — Pfizer-BioNTech
2022-04-23
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Poor

Free text: None related to injections

MedDRA releases: 2024-11 · check-in free text available
2022-05-02
Health check-in — day 14, dose 4
Feeling: Poor

Adult check-in
2022-05-17
Health check-in — day 28, dose 4
Feeling: Poor

Adult check-in
2022-05-29
Survey response — day 42, dose 4
MedDRA: Pre-existing disease, Productive cough — Feeling: Poor · Be unable to do your normal daily activities

Free text: Cough and sputum worsening, but probably due to ongoing underlying lung disease

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech
3	2021-08-15	Pfizer-BioNTech	No
4	2022-04-16	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

1 check-in flagged for a call with no call center case on record

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Mild upper arm ache around injection site like flu to tetanus vaccines would ache, still ache 18 hrs post

2021-03-24

Systemic reaction (other): Sob, cough up dime size fresh blood, new, chronic severe lung disease patient, blood has been at bay since 2017. Dr notified, CT ordered, last one 6 mos ago anyway, maybe vaccyine set off increase in chronic lung inflammation?? Probably unrelated, just poor timing

Healthcare visit (other): Calls and emails to established pulmonologist, ct and sputum cultures ordered

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Shortness of breath, hemoptyosis, dr had thought maybe tied w vaccines, occurred w first... not so sure? Severe lung disease patient, these symptoms tho had been calm for some time

Healthcare visit (other): Emails, increase prednisone doses

2021-04-15

Systemic reaction (other): Cough, shortness of breath. Both somewhat better, no hemoptyosis after 30 hrs increased more high dose prednisone

2021-04-16

Systemic reaction (other): Continued sob, no hemoptyosis, still treating with higher does prednisone

Release 7 — day 7, dose 2

2021-04-17

Systemic reaction (other): Just the continued sob, still on extra course of higher dose prednisone

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Serve lung diseases have taken a bad turn down. New cavitary lesion, both lungs covered with opacities, bacteria and 2 fungi growing, 1 of which we've surgically treated and I've brn treating specifically targeting since 2016.

Healthcare visit (other): Multiple specialists virtual and numerous calls, emails, bronchoscoscopy,.

Release 11 — 12 months, dose 2

2022-04-10

Symptoms: Pneumonias repeatedly, hospitalized twice.

Release 11 — day 7, dose 4

2022-04-23

Systemic reaction (other): None related to injections

Release 11 — day 42, dose 4

2022-05-29

Symptoms: Cough and sputum worsening, but probably due to ongoing underlying lung disease

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Telemedicine	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Lung disorder	·	·	✓
SD	Lung opacity	·	·	✓
SD	Pneumonia	·	·	✓
SD	Pneumonia bacterial	·	·	✓
SD	Pneumonia fungal	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	·	·	✓
SD	Pulmonary mass	·	·	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Haemoptysis	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	No adverse event	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Steroid therapy	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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