4LC-95010-99941

4 vaccinations 5 coded responses 26 check-ins 4 free-text entries 2 call cases

Sex: Female
Age at first dose: 05-11
ZIP prefix: 840 / UT
Registered: 2021-11-09

Relationship: Child or adolescent in my care
Guardian: WYW-11038-34217
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-11-04
Dose 1 — Pfizer-BioNTech
2021-11-09
Registered in v-safe
2021-11-09
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

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

Adult check-in
2021-11-18
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2021-11-27
Dose 2 — Pfizer-BioNTech
2021-11-28
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-29
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-11-30
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-12-01
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Muscle or body aches

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Muscle or body aches

Adult check-in
2021-12-04
Health check-in — day 7, dose 2, dependent
Feeling: Fair · Chills, Muscle or body aches

Adult check-in
2021-12-11
Health check-in — day 14, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2021-12-25
Survey response — day 28, dose 2, dependent
MedDRA: Dizziness, Fatigue, Nausea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea, dizziness, fatigue. Negative covid test.

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-08
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-02-26
Health check-in — 3 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-05-28
Survey response — 6 months, dose 2, dependent
MedDRA: Illness, Myalgia, Myositis, Nausea, Pain in extremity, Pyrexia, Respiratory disorder, Respiratory symptom, Vomiting — 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 · Telehealth, virtual health, or email health consultation

Free text: Confirmed influenza exposure turned into an illness in our home, too. Upper and lower respiratory symptoms, fever, muscle aches. Some conditions were unexpected and some have not resolved. Leg pains (BACM). Unresolved intermittent nausea/vomiting.

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Report sent to call center — 6 months, dose 2, dependent
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-31
Call 2 — Left Voicemail
2022-06-15
Dose 3 — Pfizer-BioNTech
2022-11-28
Survey response — 12 months, dose 2, dependent
MedDRA: Cough, Fatigue, Headache, Influenza like illness, Nasal congestion, Nasopharyngitis, Rhinovirus infection, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Covid or flu like symptoms (cough, nasal congestion, headache, fatigue) but negative on both accounts. Repeated home covid tests every two days for the first 6 days of symptoms. Likely a common cold or rhinovirus.

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Dose 4 — Pfizer-BioNTech
2022-12-29
Health check-in — day 21, dose 4, dependent
Feeling: Good

Adult check-in
2022-12-30
Survey response — day 28, dose 4, dependent
MedDRA: Headache, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache, vomiting, negative for covid.

MedDRA releases: 2024-11 · check-in free text available
2023-01-06
Health check-in — day 35, dose 4, dependent
Feeling: Good

Adult check-in
2023-01-13
Survey response — day 42, dose 4, dependent
MedDRA: Bronchiolitis, Cough, Exposure to communicable disease, Lower respiratory tract congestion, Office visit, Pyrexia, Respiratory syncytial virus infection, Upper respiratory tract congestion — 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

MedDRA releases: 2024-11
2023-01-13
Report sent to call center — day 42, dose 4, dependent
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 · 1 call case(s)
2023-01-16
Call 1 — Left Voicemail
2023-01-16
Call 1 — Left Voicemail
2023-03-03
Health check-in — 3 months, dose 4, dependent
Feeling: Good

Adult check-in
2023-06-02
Health check-in — 6 months, dose 4, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-04	Pfizer-BioNTech	No
2	2021-11-27	Pfizer-BioNTech	No
3	2022-06-15	Pfizer-BioNTech	No
4	2022-12-02	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 10 — day 28, dose 2, dependent

2021-12-25

Symptoms: Nausea, dizziness, fatigue. Negative covid test.

Release 11 — 6 months, dose 2, dependent

2022-05-28

Symptoms: Confirmed influenza exposure turned into an illness in our home, too. Upper and lower respiratory symptoms, fever, muscle aches. Some conditions were unexpected and some have not resolved. Leg pains (BACM). Unresolved intermittent nausea/vomiting.

Release 12 — 12 months, dose 2, dependent

2022-11-28

Symptoms: Covid or flu like symptoms (cough, nasal congestion, headache, fatigue) but negative on both accounts. Repeated home covid tests every two days for the first 6 days of symptoms. Likely a common cold or rhinovirus.

Release 12 — day 28, dose 4, dependent

2022-12-30

Symptoms: Headache, vomiting, negative for covid.

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
SD	Bronchiolitis	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Exposure to communicable disease	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Illness	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Lower respiratory tract congestion	·	·	✓
SD	Myalgia	·	·	✓
SD	Myositis	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory disorder	·	·	✓
SD	Respiratory symptom	·	·	✓
SD	Respiratory syncytial virus infection	·	·	✓
SD	Rhinovirus infection	·	·	✓
SD	SARS-CoV-2 test	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Upper respiratory tract congestion	·	·	✓
SD	Vomiting	·	·	✓

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