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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

  1. 2020-12-23
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-12
    Dose 2 — Pfizer-BioNTech
  3. 2021-09-28
    Dose 3 — Pfizer-BioNTech
  4. 2021-10-07
    Registered in v-safe
  5. 2021-10-07
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2021-10-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  7. 2021-10-21
    Survey response — day 21, dose 3
    MedDRA: 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 visit
    Free 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
  8. 2021-10-21
    Report sent to call center — day 21, dose 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  9. 2021-10-25
  10. 2021-10-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  11. 2021-10-26
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  12. 2021-11-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-11-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-12-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-03-31
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-09-28
    Survey response — 12 months, dose 3
    MedDRA: Nasal congestion, SARS-CoV-2 test negative — Feeling: Good
    Free 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

DoseDateManufacturerCo-administered
12020-12-23Pfizer-BioNTech No
22021-01-12Pfizer-BioNTech No
32021-09-28Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-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

2021-10-21

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

2022-09-28

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

FieldPreferred term2021-092023-042024-11
SDAsthma · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDPre-existing disease · · ✓
SDPregnancy · · ✓
SDSARS-CoV-2 test negative · · ✓

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