5DC-13178-71492
1 vaccination
2 coded responses
2 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 802 / CO
- Registered
- 2021-06-05
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-05-28
Dose 1 — Pfizer-BioNTech
-
2021-06-05
Registered in v-safe
-
2021-06-05
Survey response — day 7, dose 1MedDRA: Vaginal haemorrhage — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: vaginal bleeding during pregancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-05
Report sent to call center — day 7, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-17
Survey response — day 14, dose 1MedDRA: Abortion spontaneous, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: I miscarried a baby at 15 weeks. · Healthcare visit (other): Surgery to remove the baby and placenta.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-17
Report sent to call center — day 14, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-06-19
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-28 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-05 | Successful 2021-06-19 |
Completed over the phone |
| 2021-06-17 | Successful | Completed over the phone |
Free text
Release 8 — day 7, dose 1
Systemic reaction (other): vaginal bleeding during pregancy
Release 9 — day 14, dose 1
Symptoms: I miscarried a baby at 15 weeks.
Healthcare visit (other): Surgery to remove the baby and placenta.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release