ZN4-12347-12642

2 vaccinations 4 coded responses 26 check-ins 4 free-text entries 3 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 373 / TN
Registered: 2021-03-18

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Chills, Muscle or body aches

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

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-21
Survey response — day 42, dose 2
MedDRA: Facial paralysis, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Facial paralysis. · Healthcare visit (other): Doctor visits.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Ear neoplasm, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: I have a tumor deep in my right inner ear. The symptoms started showing shortly after my 1st Covid-19 vaccine shot. · Healthcare visit (other): Doctor visits. Vanderbilt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
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)
2021-07-14
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-08
Survey response — 6 months, dose 2
MedDRA: Ear neoplasm, Neoplasm malignant — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have a malignant inner ear tumor/growth.

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Office visit, Precancerous condition, Radiotherapy, Surgery, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: I had a cancerous growth develope in my right inner ear. Have gone through radiation and chem treatments. The symptoms started shortly after my 1st Pfizer covid shot. · Healthcare visit (other): Doctor visits, therapy and surgery.

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
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

Hospitalization · 1 call case(s)
2022-04-11
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-21	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-07-09	Successful 2021-07-14	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-09	Successful 2022-04-11	Participant prefers to complete VAERS report online

Free text

Release 8 — day 42, dose 2

2021-05-21

Symptoms: Facial paralysis.

Healthcare visit (other): Doctor visits.

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: I have a tumor deep in my right inner ear. The symptoms started showing shortly after my 1st Covid-19 vaccine shot.

Healthcare visit (other): Doctor visits. Vanderbilt.

Release 10 — 6 months, dose 2

2021-10-08

Symptoms: I have a malignant inner ear tumor/growth.

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: I had a cancerous growth develope in my right inner ear. Have gone through radiation and chem treatments. The symptoms started shortly after my 1st Pfizer covid shot.

Healthcare visit (other): Doctor visits, therapy and surgery.

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	Surgery	·	·	✓
SD	Ear neoplasm	✓	✓	✓
SD	Facial paralysis	✓	✓	✓
SD	Neoplasm malignant	·	·	✓
SD	Precancerous condition	·	·	✓
SD	Radiotherapy	·	·	✓
SD	Unevaluable event	·	·	✓

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