BLD-11873-51430
1 vaccination
2 coded responses
2 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 029 / RI
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Pfizer-BioNTech
-
2021-03-23
Registered in v-safe
-
2021-03-26
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Potential miscarriage to be determined as of yet. · Healthcare visit (other): Blood workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-02
Survey response — day 14, dose 1MedDRA: Abortion spontaneous — Feeling: FairFree text: Miscarriage at 6.5 weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-26 | Successful 2021-04-07 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Potential miscarriage to be determined as of yet.
Healthcare visit (other): Blood work
Release 6 — day 14, dose 1
Symptoms: Miscarriage at 6.5 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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release