ZNH-18843-25117

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 940 / CA
Registered: 2021-03-05

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
Dose 2 — Pfizer-BioNTech
2021-03-05
Registered in v-safe
2021-03-05
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pharyngeal swelling, Swelling face — Feeling: Good · Headache

Free text: Swelling around throat and jaws - feels like mumps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Mild rash on torso

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash less than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-21
Dose 3 — Pfizer-BioNTech
2021-10-05
Survey response — day 14, dose 3
MedDRA: Oral mucosal blistering — Feeling: Good

Free text: Blisters in my mouth

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Survey response — day 21, dose 3
MedDRA: Diarrhoea, Dizziness, Dyspnoea, Emergency care, Joint swelling, Mammogram abnormal, Pyrexia, Ultrasound scan abnormal, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Abnormal mammogram and sonogram. Also a worsening left knee swelling. · Healthcare visit (other): Two day after vaccine I was in the ER w 104 F, shortness of breath and dizziness. Four days after the shot I had massive vomiting and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-10-15
Call 1 — Left Voicemail
2021-10-20
Survey response — day 28, dose 3
MedDRA: Mammogram abnormal — Feeling: Fair

Free text: I had a bad mammogram and will have biopsies tomorrow

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Call 2 — Left Voicemail
2021-10-29
Survey response — day 35, dose 3
MedDRA: Breast cancer, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: I was just diagnosed w breast cancer yesterday · Healthcare visit (other): MRI ordered by radiologist

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-02
Survey response — day 42, dose 3
MedDRA: Condition aggravated, Fatigue, Neoplasm, Neoplasm malignant, Poor quality sleep, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: I have stage two invasive cancer w tumors larger than 5cm. My graves decease is still not under control. Tired all day and sleeps poorly

MedDRA releases: 2024-11 · check-in free text available
2021-11-02
Call 1 — Left Voicemail
2021-12-24
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-25
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease, Unevaluable event — 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, Emergency room or emergency department visit

Free text: Stage 4 breast cancer. Just finished my 6th chemo

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-03-28
Call 1 — Left Voicemail
2022-03-29
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
2	2021-03-04	Pfizer-BioNTech
3	2021-09-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-13	Unsuccessful
2021-10-29	Unsuccessful
2022-03-25	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Swelling around throat and jaws - feels like mumps

2021-03-10

Systemic reaction (other): Mild rash on torso

2021-03-11

Systemic reaction (other): Rash less than yesterday

Release 10 — day 14, dose 3

2021-10-05

Symptoms: Blisters in my mouth

Release 10 — day 21, dose 3

2021-10-13

Symptoms: Abnormal mammogram and sonogram. Also a worsening left knee swelling.

Healthcare visit (other): Two day after vaccine I was in the ER w 104 F, shortness of breath and dizziness. Four days after the shot I had massive vomiting and diarrhea

Release 10 — day 28, dose 3

2021-10-20

Symptoms: I had a bad mammogram and will have biopsies tomorrow

Release 10 — day 35, dose 3

2021-10-29

Symptoms: I was just diagnosed w breast cancer yesterday

Healthcare visit (other): MRI ordered by radiologist

Release 10 — day 42, dose 3

2021-11-02

Symptoms: I have stage two invasive cancer w tumors larger than 5cm. My graves decease is still not under control. Tired all day and sleeps poorly

Release 11 — 6 months, dose 3

2022-03-25

Symptoms: Stage 4 breast cancer. Just finished my 6th chemo

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	Diarrhoea	·	·	✓
HCVO	Dizziness	·	·	✓
HCVO	Dyspnoea	·	·	✓
HCVO	Emergency care	·	·	✓
HCVO	Pyrexia	·	·	✓
HCVO	Unevaluable event	·	·	✓
HCVO	Vomiting	·	·	✓
SD	Breast cancer	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Fatigue	·	·	✓
SD	Joint swelling	·	·	✓
SD	Mammogram abnormal	·	·	✓
SD	Neoplasm	·	·	✓
SD	Neoplasm malignant	·	·	✓
SD	Oral mucosal blistering	·	·	✓
SD	Poor quality sleep	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Ultrasound scan abnormal	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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