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CH9-96974-79378

2 vaccinations 1 coded response 1 check-in 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
105 / NY
Registered
2021-09-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-25
    Dose 1 — Pfizer-BioNTech
  2. 2021-09-15
    Dose 2 — Pfizer-BioNTech
  3. 2021-09-21
    Registered in v-safe
  4. 2021-09-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hospitalisation, Pregnancy, Premature rupture of membranes — 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 · Hospitalization
    Free text: Systemic reaction (other): Water broke prematurely 3 days after second dose · Healthcare visit (other): Hospitalized at 25 weeks pregnant for water breaking
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-09-21
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  6. 2021-09-23

Vaccinations

DoseDateManufacturerCo-administered
12021-08-25Pfizer-BioNTech No
22021-09-15Pfizer-BioNTech No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-09-21

Systemic reaction (other): Water broke prematurely 3 days after second dose
Healthcare visit (other): Hospitalized at 25 weeks pregnant for water breaking

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
HCVOHospitalisation · · ✓
HCVOPregnancy · · ✓
HCVOPremature rupture of membranes · · ✓
SROPremature rupture of membranes · · ✓

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