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C2V-52377-45300

3 vaccinations 5 coded responses 15 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
554 / MN
Registered
2022-01-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-02
    Dose 2 — Pfizer-BioNTech
  3. 2022-01-04
    Registered in v-safe
  4. 2022-01-04
    Dose 3 — Moderna
  5. 2022-01-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  6. 2022-01-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2022-01-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  8. 2022-01-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2022-01-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2022-01-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2022-01-11
    Health check-in — day 7, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  12. 2022-01-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2022-01-25
    Survey response — day 21, dose 3
    MedDRA: Abortion missed, Pregnancy — Feeling: Poor
    Free text: My pregnancy is no longer viable and I am having a missed miscarriage as of 1/21/2022
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-02-01
    Survey response — day 28, dose 3
    MedDRA: Abortion spontaneous — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Miscarriage
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-02-01
    Report sent to call center — day 28, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2022-02-08
    Survey response — day 35, dose 3
    MedDRA: Abortion spontaneous — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Miscarriage complications
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-02-08
    Report sent to call center — day 35, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  18. 2022-02-14
  19. 2022-02-15
    Survey response — day 42, dose 3
    MedDRA: Abortion spontaneous, Surgery — 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 · Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Had to have surgery to remove miscarriage that wouldn't come out.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-02-15
    Report sent to call center — day 42, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  21. 2022-02-16
  22. 2022-04-05
    Survey response — 3 months, dose 3
    MedDRA: Nasopharyngitis, Pregnancy, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Got a cold (not COVID, 2 tests were negative within a week). And got pregnant.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-07-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2023-01-04
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Pfizer-BioNTech No
22021-02-02Pfizer-BioNTech No
32022-01-04Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-02-01 Unsuccessful
2022-02-08 Unsuccessful
2022-02-15 Unsuccessful

Free text

Release 11 — day 21, dose 3

2022-01-25

Symptoms: My pregnancy is no longer viable and I am having a missed miscarriage as of 1/21/2022

Release 11 — day 28, dose 3

2022-02-01

Symptoms: Miscarriage

Release 11 — day 35, dose 3

2022-02-08

Symptoms: Miscarriage complications

Release 11 — day 42, dose 3

2022-02-15

Symptoms: Had to have surgery to remove miscarriage that wouldn't come out.

Release 11 — 3 months, dose 3

2022-04-05

Symptoms: Got a cold (not COVID, 2 tests were negative within a week). And got pregnant.

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

FieldPreferred term2021-092023-042024-11
SDAbortion missed · · ✓
SDAbortion spontaneous · · ✓
SDNasopharyngitis · · ✓
SDPregnancy · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSurgery · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release