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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 (5,644 people) are left out of the tiles and charts, except the 1 with a pregnancy loss. 1,597 respondents had a pregnancy loss: the registrant’s own miscarriage, stillbirth, fetal demise, or ectopic, molar or chemical pregnancy, post vaccination, found in their own words or a MedDRA code. Not a loss they place before the vaccine, someone else’s loss, or a threatened or possible miscarriage. Some of them answered "not pregnant" after the loss.

Pregnancy respondents: the full list, with filters →

73,621
Survey responses (after screening)
56,450
Pregnant at time of vaccination
9,511
Pregnant after vaccination
58,191
Asked to be contacted
16,556
With a call center case
825
Reported hospitalization
762
Reported ER visit

Comparison group: 3,221,439 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
2021-04-123,9323,59737,501
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=245)Dose 2 (n=644)Dose 3+ (n=42)
Day 00100
Days 1-648861
Day 719300
Week 2681102
Week 3551050
Week 418740
Week 59552
Week 66504
3 months17766
6 months43813
12 months11014

931 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=48)Dose 2 (n=96)Dose 3+ (n=1)
Day 00100
Day 1060
Day 26130
Day 36151
Day 412160
Day 510200
Day 614160

The 145 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
2156
3235
491423
5214869
6365995
7284169
8465197
9295584
10242953
11172239
12102838
136915
1431013
156511
1661016
175611
188715
196511
207714
21314
227310
23123
24235
25415
26000
27202
28202
29033
30101
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": 736 of the 4,662 people with a pregnancy loss (survey respondents and others, after the age screen) said how far along they were, in the entry that reports the loss. Median 9 weeks; 80.6% in the first trimester (before week 14); 66 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

1,019
people with pre-eclampsia post vaccination, in their free text or MedDRA codes
510
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: 965 from free text, 959 coded, 54 found only by the code: some are misspellings ("preecmplasia"), others have no matching text in the data we have. Only the registrant's own pre-eclampsia, post vaccination: entries that could go either way were read, and a pre-eclampsia in an earlier pregnancy ("with my first son", "in 2018"), a suspected one ("possible preeclampsia", "being monitored for"), or one that was ruled out doesn't count. A code doesn't count when the person's own words about it were all ruled out. See the mentions in Search (the search finds "eclamp", which covers most spellings).

Ectopic pregnancy

267
people with an ectopic pregnancy post vaccination, in their free text or MedDRA codes
68
of them took the pregnancy survey

An ectopic pregnancy is a pregnancy loss, so this counts the pregnancy losses above that are ectopic ("ectopic", "tubal pregnancy"): the registrant's own, post vaccination. A suspected or ruled-out one ("possible ectopic", "to rule out ectopic") doesn't count, and nor does one before the vaccine. "Ectopic" also describes extra heartbeats, so mentions next to heart words are left out. A MedDRA ectopic pregnancy code counts for someone the pregnancy-loss count includes: 261 from free text, 253 coded, 6 found only by the code: some are misspellings ("etopic"), others have no matching text in the data we have. See the mentions 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=7,660)Comparison women (age-standardized) (n=3,221,439)
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 post vaccination, 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 pregnancy loss). "Pregnant: Yes" on a check-in is sometimes a mistaken tap.

RegistrantSignsAge at 1st dose VaccinationsCheck-insMedDRA termsFree text Call casesFlags
43F-12449-77348 check-in: pregnant 21-25 2210 00
43F-18569-67963 call center: pregnant 41-45 3363 31
43G-20898-07825 check-in: pregnant call center: pregnant 31-35 3375 32 hospital
43H-15441-55369 check-in: pregnant 31-35 4395 20
43J-16973-53572 MedDRA pregnancy code 36-40 293 20
43K-15023-91860 call center: pregnant 21-25 164 21
43K-56042-41329 check-in: pregnant 26-30 2120 00
43L-28641-20589 MedDRA pregnancy code call center: pregnant 36-40 2261 11
43M-19339-59791 check-in: pregnant 26-30 180 00
43M-19736-59427 check-in: pregnant 21-25 220 00
43M-29196-12764 check-in: pregnant call center: pregnant 31-35 280 00
43N-21778-85958 check-in: pregnant call center: pregnant 31-35 220 01
43N-31094-44069 check-in: pregnant 36-40 2230 00
43N-86138-64022 check-in: pregnant 31-35 2230 00
43P-14808-74270 check-in: pregnant 26-30 290 00
43P-23481-40961 MedDRA pregnancy code check-in: pregnant call center: pregnant 31-35 112 11
43P-49034-85601 check-in: pregnant 26-30 3150 00
43R-74417-95887 check-in: pregnant 31-35 2240 00
43S-32377-66226 MedDRA pregnancy code 31-35 3202 10
43U-16627-38761 MedDRA pregnancy code call center: pregnant 31-35 2112 11 hospital
43U-76943-63625 check-in: pregnant 12-15 190 00
43V-13876-01262 check-in: pregnant 31-35 4310 00
43W-33588-55469 MedDRA pregnancy code check-in: pregnant 31-35 142 10
43Z-17848-45682 check-in: pregnant 26-30 120 00
442-20149-21493 call center: pregnant 26-30 2112 22

Showing 4,426–4,450 of 69,896.