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Pregnancy registry survey

One response per person, collected 2021-04-13 to 2021-06-07 (vsafe_pregnancy_registry_survey_20210413-20210607.xlsx). Age, vaccine, call center and hospital/ER flags come from each person's other v-safe records.

Screened out: respondents aged 51+ at their first dose (5,643 people) are left out of the tiles and charts, except the 2 who show a sign of pregnancy loss. 1,666 respondents have a pregnancy-loss sign (a MedDRA miscarriage/ectopic/stillbirth code, or free text mentioning one); some of them answered "not pregnant" after the loss.

Pregnancy respondents: the full list, with filters →

73,622
Survey responses (after screening)
56,450
Pregnant at time of vaccination
9,511
Pregnant after vaccination
58,191
Asked to be contacted
16,557
With a call center case
825
Reported hospitalization
762
Reported ER visit

Comparison group: 3,221,304 women who registered in v-safe for themselves, aged 12-50 at their first dose, with no sign of pregnancy anywhere in v-safe. Their rates are age-standardized to the pregnant group they are compared with. Bars show percentages; the black lines are 95% confidence intervals.

Responses by week

Show the numbers
Responses by week
Not pregnant at or since vaccinationPregnant after vaccinationPregnant at time of vaccination
2021-04-123,9333,59737,501
2021-04-191,3921,4549,376
2021-04-267131,2213,354
2021-05-034409161,939
2021-05-104468691,563
2021-05-173727011,414
2021-05-243226631,180
2021-05-314390122
2021-06-071

When the survey ran, split by the answer to "pregnancy status". Counts, after the age screen.

Which check-in reported the pregnancy loss

Show the numbers
Which check-in reported the pregnancy loss
Dose 1 (n=248)Dose 2 (n=659)Dose 3+ (n=44)
Day 00100
Days 1-649881
Day 721320
Week 2671122
Week 3561060
Week 418760
Week 59552
Week 66504
3 months17787
6 months44314
12 months1914

951 women pregnant at vaccination with a MedDRA loss code, by the check-in survey that first reported it, colored by the dose that check-in followed. v-safe has no loss date, only the check-in date. The later check-ins cover longer stretches: the 3-month survey picks up anything since week 6 (about 7 weeks), the 6-month survey about 13 weeks, and the 12-month survey about 26 weeks, so their bars hold more time than the weekly ones. Each dose started its own check-in schedule, and the old one mostly stopped. Dose 2 came 3–4 weeks after dose 1 (21 days for Pfizer, 28 for Moderna), so dose-1 check-ins fade after week 3, and the later check-ins are almost all on dose 2's schedule. The color shows which schedule was running when the loss was reported, not necessarily the dose closest to the loss.

Losses reported in the first week, by day

Show the numbers
Losses reported in the first week, by day
Dose 1 (n=49)Dose 2 (n=98)Dose 3+ (n=1)
Day 00100
Day 1070
Day 26140
Day 37151
Day 412160
Day 510200
Day 614160

The 148 of those losses reported in the day-0 or daily (days 1–6) check-ins, by days after the dose. Day 0 is the day of the shot.

How far along the pregnancy was at the loss

Show the numbers
How far along the pregnancy was at the loss
WeeksTook the pregnancy surveyDid notAll
2178
3246
491625
5215071
63961100
7284270
84654100
9295584
10252954
11162238
12112839
136915
1431013
157512
1661016
175611
188715
197512
208816
21325
228412
23123
24336
25415
26000
27303
28202
29134
30202
31000
32101
33011
34011
35112
36134
37123
38112
39112
40000
41011
42000

From free text like "miscarriage at 7 weeks" or "stillborn at 28 weeks": 764 of the 5,113 people with a pregnancy-loss sign (survey respondents and others, after the age screen) said how far along they were. Median 9 weeks; 79.8% in the first trimester (before week 14); 75 at 20 weeks or later, which counts as a stillbirth in the US. Weeks are as people wrote them, usually counted from the last period. Found by matching text patterns, so a few may be misread. Click a bar to list that week's survey respondents (the blue part) on Pregnancy respondents.

Pre-eclampsia

1,050
people with pre-eclampsia in their free text or MedDRA codes
522
of them took the pregnancy survey

Any spelling ("preeclampsia", "pre-eclampsia", "pre eclampsia", "preclampsia") or HELLP syndrome, its severe form, anywhere in v-safe, plus anyone with a MedDRA pre-eclampsia, eclampsia or HELLP code: 996 from free text, 965 coded, 54 found only by the code: some are misspellings ("preecmplasia"), others have no matching text in the data we have. A mention can be a current diagnosis or a past one. See them in Search (the search finds "eclamp", which covers most spellings).

Ectopic pregnancy

279
people with an ectopic pregnancy in their free text or MedDRA codes
74
of them took the pregnancy survey

"Ectopic", "tubal pregnancy" or "cornual pregnancy", anywhere in v-safe. "Ectopic" also describes extra heartbeats, so mentions next to heart words (beats, atrial, PVCs, palpitations) are left out. A mention can be a current one, a past one or a suspected one ("possible ectopic"). Anyone with a MedDRA ectopic pregnancy code is counted too: 272 from free text, 255 coded, 7 found only by the code: some are misspellings ("etopic"), others have no matching text in the data we have. See them in Search (the search finds "ectopic preg", which covers most of them).

Premature deliveries: how early

Show the numbers
Premature deliveries: how early
WeeksTook the pregnancy surveyDid notAll
20202
21022
22415
23011
24336
25134
26235
27538
28347
29268
307512
31347
326410
3381321
34292958
35172138
36281846

240 people whose free text gives the week of a premature delivery (before 37 weeks), median 34 weeks: 33 extremely preterm (before 28 weeks), 34 very preterm (28–31), 173 moderate to late (32–36). Read from text like "born at 33 weeks" or "came 6 weeks early" (counted against a 40-week term); "3 weeks early" is 37 weeks, full term, and not counted. For comparison, 257 people have a MedDRA premature delivery or premature baby code.

How early: v-safe compared with US live births in 2019

Show the numbers
How early: v-safe compared with US live births in 2019
Weeksv-safe share95% CIv-safe peopleUS 2019 shareRatio (95% CI)
Under 28 weeks10.9%7.5%–15.6%256.1%1.78 (1.22–2.54)
28–31 weeks13.9%10.0%–19.0%329.0%1.54 (1.11–2.1)
32–33 weeks13.5%9.7%–18.5%3111.7%1.15 (0.82–1.58)
34–36 weeks61.7%55.3%–67.8%14273.1%0.84 (0.76–0.93)

Each bar is a share of preterm live births only: of the babies born alive before 37 weeks, how many were born in each range. v-safe: the people above who wrote the week of a premature delivery, leaving out the 10 with a stillbirth code (230 left). US 2019: all US live births that year, before COVID-19 vaccines, weighted to the same mix of mothers' ages (source: Births: Final Data for 2019, NCHS, Table 21). Among v-safe preterm births, 24.8% were born before 32 weeks (95% CI 19.6–30.7%), against 15.1% in 2019; before 28 weeks the share was 1.78 times the 2019 share (95% CI 1.22–2.54). This compares how early preterm babies came, not how often babies were born preterm: v-safe has no count of all births. The data cannot say whether the difference reflects which births people chose to write about, or a real shift toward earlier delivery. CDC studies that did count all births found no increase in how often babies were born preterm after vaccination.

Who kept doing check-ins

Show the numbers
Who kept doing check-ins
Pregnant at vaccination (n=56,450)Pregnant after vaccination (n=9,511)Said not pregnant (n=7,661)Comparison women (age-standardized) (n=3,221,304)
3 months83.3% (83.0%–83.6%)95.3% (94.8%–95.7%)82.2% (81.3%–83.0%)46.2% (46.1%–46.2%)
6 months79.3% (79.0%–79.6%)89.8% (89.1%–90.4%)78.1% (77.2%–79.0%)46.8% (46.8%–46.9%)
12 months58.5% (58.1%–58.9%)71.9% (71.0%–72.8%)60.2% (59.1%–61.3%)34.0% (33.9%–34.1%)

Share with any check-in in the 3-, 6- and 12-month surveys. A loss can only be reported by someone still taking part, and pregnant respondents stayed far more engaged than other women, so they had more chances to report anything.

Not in the survey: pregnancy loss or pregnancy

People who never took the pregnancy survey (it ran only 2021-04-13 to 2021-06-07) but show a pregnancy elsewhere in v-safe: a pregnancy-loss sign, or an active MedDRA pregnancy code, a check-in answer "pregnant: Yes", or a call center pregnancy record. The same age screen applies (51+ or under 12 at first dose are left out unless there is a loss sign). "Pregnant: Yes" on a check-in is sometimes a mistaken tap.

RegistrantSignsFirst loss codeAge at 1st dose VaccinationsCheck-insMedDRA termsFree text Call casesFlags
X9R-32586-83380 loss in free text 21-25 1142 30
XCD-19153-40886 loss in free text 66+ 375 21
XN5-18198-56588 loss in free text 36-40 2257 62
XND-35683-94179 loss in free text 61-65 549123 4513
XQP-32732-79158 loss in free text 36-40 271 10
XT6-26166-65948 loss in free text 31-35 2164 20
YDT-42705-83973 loss in free text 26-30 2126 50
YGX-14097-27720 loss in free text MedDRA pregnancy code 31-35 2103 11
YHM-13685-81753 loss in free text 66+ 2176 22
YLE-31428-85250 loss in free text 51-55 31223 74
YM6-16490-73765 loss in free text call center: pregnant 26-30 4524 41
YPW-32406-73231 loss in free text 31-35 2215 90
YZU-34855-38993 loss in free text 31-35 2244 91
Z5X-14492-55545 loss in free text 31-35 241 10
Z8R-14023-25532 loss in free text 56-60 2255 60
ZA2-16345-20428 loss in free text 36-40 211 10
ZA6-30165-80812 loss in free text check-in: pregnant call center: pregnant 36-40 253 21
ZBM-90911-55075 loss in free text MedDRA pregnancy code check-in: pregnant 26-30 1123 20
ZHK-22180-39756 loss in free text MedDRA pregnancy code check-in: pregnant call center: pregnant 31-35 282 11
ZKR-31979-29201 loss in free text 56-60 2252 20
ZM4-18132-69759 loss in free text MedDRA pregnancy code 31-35 22313 55
ZQX-15691-83536 loss in free text 41-45 42011 72

Showing 3,426–3,447 of 3,447, earliest loss code first.