3EV-11761-48923
4 vaccinations
3 coded responses
19 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 498 / MI
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Pfizer-BioNTech
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-27
- 2020-12-28
-
2020-12-31
Survey response — day 7, dose 1MedDRA: Pregnancy — Feeling: Good · Fatigue or tirednessFree text: PregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
-
2021-01-12
Dose 2 — Pfizer-BioNTech
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
- 2021-02-09
-
2021-02-16
Survey response — day 35, dose 2MedDRA: Abortion spontaneous — Feeling: Fair · Be unable to workFree text: MiscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — day 42, dose 2MedDRA: Abortion spontaneous, Surgery — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Miscarriage due to triploidy (not vaccine related) · Healthcare visit (other): Out patient Surgery, (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-13
- 2021-04-13
- 2021-07-13
-
2021-10-14
Dose 3 — Pfizer-BioNTech
- 2022-01-12
-
2022-09-21
Dose 4 — Moderna
- 2022-10-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-12 | Pfizer-BioNTech | |
| 3 | 2021-10-14 | Pfizer-BioNTech | No |
| 4 | 2022-09-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-23 | Unsuccessful |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Pregnant
Release 4 — day 35, dose 2
Symptoms: Miscarriage
Release 4 — day 42, dose 2
Symptoms: Miscarriage due to triploidy (not vaccine related)
Healthcare visit (other): Out patient Surgery, (b)(6)
redacted (b)(6)
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 |
|---|---|---|---|---|
| HCVO | Surgery | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Exposure during pregnancy | ○ | ○ | ○ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release