ZRH-19381-33182

2 vaccinations 4 coded responses 22 check-ins 4 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 852 / AZ
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-02
Health check-in — day 0, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 28, dose 2
MedDRA: Lymphadenopathy, Pre-existing disease — Feeling: Good

Free text: My seasonal asthma has kicked in, and I have a couple swollen lymph nodes. Does not interfere with any of my normal activities.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-06-22
Survey response — 3 months, dose 2
MedDRA: Lymphadenopathy, Office visit — 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, Emergency room or emergency department visit

Free text: Symptoms: Swollen lymph nodes attributed to vaccine turned out to be aggressive return of breast cancer. Has metastasized to lungs and liver. · Healthcare visit (other): Multiple physicians office visits, imaging centers and other outpatient procedures. Was not diagnosed in a timely manner in part due to virtual visit rather than in person during Covid lock down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
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)
2021-06-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-21
Survey response — 6 months, dose 2
MedDRA: Breast cancer, Hepatic cancer metastatic, Lung cancer metastatic, Lymphadenopathy, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: Breast cancer is back, metastasized to liver and lungs. First noticeable sign was swollen lymph nodes which I was told was a common side effect of vaccine. Vaccine probably not the cause, but delayed followup and cancer diagnostics. · Healthcare visit (other): Many, many scans.

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-22
Call 1 — Left Voicemail
2022-03-23
Survey response — 12 months, dose 2
MedDRA: Breast cancer metastatic, Metastases to bone, Metastases to liver, Metastases to lung, Unevaluable event — Feeling: Good · 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, Hospitalization

Free text: Symptoms: Metastatic breast cancer, in liver, lungs, bones · Healthcare visit (other): Infusion center

MedDRA releases: 2024-11 · check-in free text available
2022-03-23
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-03-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-22	Successful 2021-06-28	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-21	Unsuccessful
2022-03-23	Unsuccessful

Free text

Release 7 — day 28, dose 2

2021-04-23

Symptoms: My seasonal asthma has kicked in, and I have a couple swollen lymph nodes. Does not interfere with any of my normal activities.

Release 9 — 3 months, dose 2

2021-06-22

Symptoms: Swollen lymph nodes attributed to vaccine turned out to be aggressive return of breast cancer. Has metastasized to lungs and liver.

Healthcare visit (other): Multiple physicians office visits, imaging centers and other outpatient procedures. Was not diagnosed in a timely manner in part due to virtual visit rather than in person during Covid lock down.

Release 9 — 6 months, dose 2

2021-09-21

Symptoms: Breast cancer is back, metastasized to liver and lungs. First noticeable sign was swollen lymph nodes which I was told was a common side effect of vaccine. Vaccine probably not the cause, but delayed followup and cancer diagnostics.

Healthcare visit (other): Many, many scans.

Release 11 — 12 months, dose 2

2022-03-23

Symptoms: Metastatic breast cancer, in liver, lungs, bones

Healthcare visit (other): Infusion center

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	Unevaluable event	·	·	✓
SD	Breast cancer	·	·	✓
SD	Breast cancer metastatic	·	·	✓
SD	Hepatic cancer metastatic	·	·	✓
SD	Lung cancer metastatic	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Metastases to bone	·	·	✓
SD	Metastases to liver	·	·	✓
SD	Metastases to lung	·	·	✓
SD	Pre-existing disease	✓	✓	✓

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