YU5-35447-89572

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-04
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Chills

Free text: I have anaplastic thyroid cancer and take two drugs: taflinar and meklnist. The chills were experienced sporadically before the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Chills

Free text: Could be related to cancer medications

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Chills

Free text: See info earlier provided about cancer medications I am taking

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

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Fatigue due to cancer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: I think related to cancer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — day 14, dose 2
MedDRA: Injection site pruritus, Limb discomfort — Feeling: Good

Free text: Itching around injection site. Some discomfort In the arm when lifting and reaching.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-28
Survey response — 3 months, dose 2
MedDRA: Office visit, Pneumonia — Feeling: Fair · 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: Pneumonia · Healthcare visit (other): Family doctor and specialist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call 1 — Left Voicemail
2021-09-25
Survey response — 6 months, dose 2
MedDRA: Office visit, Pneumonia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Pneumonia resulting from allergies · Healthcare visit (other): Primary physician office visit plus my oncologist

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
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

1 call case(s)
2021-09-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-28	Unsuccessful
2021-09-25	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): I have anaplastic thyroid cancer and take two drugs: taflinar and meklnist. The chills were experienced sporadically before the vaccine

2021-03-07

Systemic reaction (other): Could be related to cancer medications

2021-03-08

Systemic reaction (other): See info earlier provided about cancer medications I am taking

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Fatigue due to cancer

2021-03-28

Systemic reaction (other): I think related to cancer

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Itching around injection site. Some discomfort In the arm when lifting and reaching.

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Pneumonia

Healthcare visit (other): Family doctor and specialist

Release 9 — 6 months, dose 2

2021-09-25

Symptoms: Pneumonia resulting from allergies

Healthcare visit (other): Primary physician office visit plus my oncologist

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	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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