WYW-11038-34217

4 vaccinations 7 coded responses 29 check-ins 6 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 840 / UT
Registered: 2021-11-09

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

4LC-95010-99941 Child or adolescent in my care · Female · 2021-11-09

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-23
Dose 1 — Pfizer-BioNTech
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-11-09
Registered in v-safe
2021-11-12
Dose 3 — Pfizer-BioNTech
2021-11-12
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches

Adult check-in
2021-11-13
Survey response — days 1–6 daily, dose 3
MedDRA: Body temperature decreased, Chills, Heart rate increased — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Elevated pulse, 108 with little exertion. Temperature dropping 3-5 degrees making the chills feel worse.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-11-19
Health check-in — day 7, dose 3
Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea

Adult check-in
2021-11-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-24
Survey response — day 42, dose 3
MedDRA: Cough, Fatigue, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good

Free text: Persistent cough, fatigue. Negative covid test. Likely just a cold.

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Survey response — 3 months, dose 3
MedDRA: Cough, Exposure to SARS-CoV-2, Fatigue, Headache, Oropharyngeal pain, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat, headache, fatigue, coughing, body aches. I was unable to get a lab confirmed covid test but had a confirmed close contact covid exposure lasting 40 minutes. I am in (b)(6) where they asked us not to come in for tests. Assuming covid.

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Survey response — 6 months, dose 3
MedDRA: Allergic respiratory symptom, Cough, Fatigue — Feeling: Fair

Free text: Fatigue. Allergy symptoms. Persistent cough.

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Dose 4 — Moderna
2022-09-29
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-01
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-02
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-10-03
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea

Adult check-in
2022-10-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness · Fatigue or tiredness, Nausea

Adult check-in
2022-10-06
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2022-10-13
Survey response — day 14, dose 4
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Good

Free text: Sore throat. Fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-03
Survey response — day 35, dose 4
MedDRA: Fatigue, Nausea, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue. Nausea. Congestion

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-30
Survey response — 6 months, dose 4
MedDRA: Cough — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech	No
2	2021-04-13	Pfizer-BioNTech	No
3	2021-11-12	Pfizer-BioNTech	No
4	2022-09-29	Moderna	No

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-13

Systemic reaction (other): Elevated pulse, 108 with little exertion. Temperature dropping 3-5 degrees making the chills feel worse.

Release 10 — day 42, dose 3

2021-12-24

Symptoms: Persistent cough, fatigue. Negative covid test. Likely just a cold.

Release 11 — 3 months, dose 3

2022-02-11

Symptoms: Sore throat, headache, fatigue, coughing, body aches. I was unable to get a lab confirmed covid test but had a confirmed close contact covid exposure lasting 40 minutes. I am in (b)(6) where they asked us not to come in for tests. Assuming covid.

redacted (b)(6)

Release 11 — 6 months, dose 3

2022-05-13

Symptoms: Fatigue. Allergy symptoms. Persistent cough.

Release 12 — day 14, dose 4

2022-10-13

Symptoms: Sore throat. Fatigue.

Release 12 — day 35, dose 4

2022-11-03

Symptoms: Fatigue. Nausea. Congestion

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	Allergic respiratory symptom	·	·	✓
SD	Cough	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SRO	Body temperature decreased	·	·	✓
SRO	Chills	·	·	✓
SRO	Heart rate increased	·	·	✓

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