A4H-31362-22166
2 vaccinations
1 coded response
21 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 100 / NY
- Registered
- 2021-08-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-25
Registered in v-safe
-
2021-08-25
Dose 1 — Pfizer-BioNTech
- 2021-08-25
- 2021-08-26
- 2021-08-27
- 2021-08-28
- 2021-08-29
- 2021-08-30
- 2021-08-31
- 2021-09-03
- 2021-09-08
-
2021-09-15
Dose 2 — Pfizer-BioNTech
- 2021-09-15
- 2021-09-16
- 2021-09-17
- 2021-09-18
- 2021-09-19
- 2021-09-20
- 2021-09-21
- 2021-09-22
- 2021-09-29
-
2021-12-18
Survey response — 3 months, dose 2MedDRA: Pre-eclampsia, Premature delivery — Feeling: Fair · 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 visit, HospitalizationFree text: Preeclampsia requiring delivery of preterm baby at 31 weeksMedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2021-12-20
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-17
- 2022-09-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-25 | Pfizer-BioNTech | No |
| 2 | 2021-09-15 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — 3 months, dose 2
Symptoms: Preeclampsia requiring delivery of preterm baby at 31 weeks
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 |
|---|---|---|---|---|
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Premature delivery | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release