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YTP-21509-43392

6 vaccinations 4 coded responses 38 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
980 / WA
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-06
    Registered in v-safe
  3. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  4. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-25
    Dose 2 — Pfizer-BioNTech
  10. 2021-03-25
    Health check-in — day 0, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Pre-existing disease — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Red hands/feet but symptom of Xeloda I take 14 of 21 days. Shot received on day 14.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-30
    Dose 3 — Pfizer-BioNTech
  22. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-23
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-09-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-10-04
    Survey response — day 35, dose 3
    MedDRA: Breast cancer, Human epidermal growth factor receptor positive, Metastases to liver, Office visit, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Metastatic Breast Cancer 2nd Mutation Her2+ Diagnosed 03/2020 in liver. Side effects of Capcetibane, worsened red hand foot syndrome. New treatment plan pending. Prior MBC HR+ Diagnosed 11/2016 Original to left breast ER+ 04/2012 · Healthcare visit (other): Routine visits every 3 weeks but added biopsy 9/29
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-04
    Report sent to call center — day 35, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-10-12
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-10-12
  29. 2021-12-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-02-12
    Dose 4 — Pfizer-BioNTech
  31. 2022-02-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  32. 2022-02-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-02-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-03-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-03-14
    Survey response — day 28, dose 4
    MedDRA: Adverse drug reaction, Chemotherapy — Feeling: Good · Be unable to do your normal daily activities
    Free text: Persistent mouth sores and fatigue related to oral chemo 'Everolimus' 7.5 mg daily. Dosage adjusted down as result. Feeling better this week.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-03-19
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-03-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-18
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-07-26
    Dose 5 — Pfizer-BioNTech
  40. 2022-08-16
    Health check-in — day 21, dose 5
    Feeling: Fair
    Adult check-in
  41. 2022-08-16
    Survey response — 6 months, dose 4
    MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: On a break from treatment for MBC in liver to get on top of side effects before switching to a new plan. Not COVID related but I did get shot 5 Phizer.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-08-31
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  43. 2022-09-09
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-09-29
    Dose 6 — Pfizer-BioNTech
  45. 2022-10-25
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  46. 2023-01-24
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in
  47. 2023-03-30
    Health check-in — 6 months, dose 6
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Pfizer-BioNTech
22021-03-25Pfizer-BioNTech
32021-08-30Pfizer-BioNTech No
42022-02-12Pfizer-BioNTech No
52022-07-26Pfizer-BioNTech No
62022-09-29Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-04 Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Red hands/feet but symptom of Xeloda I take 14 of 21 days. Shot received on day 14.

Release 10 — day 35, dose 3

2021-10-04

Symptoms: Metastatic Breast Cancer 2nd Mutation Her2+ Diagnosed 03/2020 in liver. Side effects of Capcetibane, worsened red hand foot syndrome. New treatment plan pending. Prior MBC HR+ Diagnosed 11/2016 Original to left breast ER+ 04/2012
Healthcare visit (other): Routine visits every 3 weeks but added biopsy 9/29

Release 11 — day 28, dose 4

2022-03-14

Symptoms: Persistent mouth sores and fatigue related to oral chemo 'Everolimus' 7.5 mg daily. Dosage adjusted down as result. Feeling better this week.

Release 12 — 6 months, dose 4

2022-08-16

Symptoms: On a break from treatment for MBC in liver to get on top of side effects before switching to a new plan. Not COVID related but I did get shot 5 Phizer.

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
HCVOOffice visit · · ✓
SDAdverse drug reaction · · ✓
SDBreast cancer · · ✓
SDChemotherapy · · ✓
SDHuman epidermal growth factor receptor positive · · ✓
SDMetastases to liver · · ✓
SDPre-existing disease · · ✓
SDUnevaluable event · · ✓
SROErythema ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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