5KX-64213-94589
3 vaccinations
2 coded responses
9 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 982 / WA
- Registered
- 2021-10-07
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
KS8-67415-02349
Child or adolescent in my care · Female · 2022-06-28
Timeline
-
2020-12-23
Dose 1 — Pfizer-BioNTech
-
2021-01-12
Dose 2 — Pfizer-BioNTech
-
2021-09-28
Dose 3 — Pfizer-BioNTech
-
2021-10-07
Registered in v-safe
- 2021-10-07
- 2021-10-12
-
2021-10-21
Survey response — day 21, dose 3MedDRA: Asthma, Nasopharyngitis, Pre-existing disease, Pregnancy, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I got cold from my daughter who started daycare which resulted in an asthma exacerbation during pregnancy. I have history of asthma and on maintenance steroid inhaler. She and I are covid negative. I'm 19 weeks pregnant.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-21
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-10-25
- 2021-10-26
-
2021-10-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-02
- 2021-11-09
- 2021-12-28
- 2022-03-31
-
2022-09-28
Survey response — 12 months, dose 3MedDRA: Nasal congestion, SARS-CoV-2 test negative — Feeling: GoodFree text: Nasal congestion. Covid negative. Most likely got it from my toddler who goes to preschool.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Pfizer-BioNTech | No |
| 2 | 2021-01-12 | Pfizer-BioNTech | No |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-21 | Successful 2021-10-26 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — day 21, dose 3
Symptoms: I got cold from my daughter who started daycare which resulted in an asthma exacerbation during pregnancy. I have history of asthma and on maintenance steroid inhaler. She and I are covid negative. I'm 19 weeks pregnant.
Release 12 — 12 months, dose 3
Symptoms: Nasal congestion. Covid negative. Most likely got it from my toddler who goes to preschool.
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 | Asthma | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release