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CLN-13570-23511

2 vaccinations 4 coded responses 10 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
544 / WI
Registered
2021-12-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-11-23
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-01
    Registered in v-safe
  3. 2021-12-01
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-12-09
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-12-14
    Dose 2 — Pfizer-BioNTech
  6. 2021-12-14
    Survey response — day 0, dose 2
    MedDRA: Intermenstrual bleeding — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Potential disruption of normal menses. Had increased days of spotting after 1st dose
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-12-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-12-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2022-01-04
    Survey response — day 21, dose 2
    MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Weakness and nausea from pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-01-11
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  12. 2022-01-18
    Survey response — day 35, dose 2
    MedDRA: Pain — Feeling: Fair
    Free text: Sore body could be from a massage i had completed yesterday or from travel
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-01-25
    Survey response — day 42, dose 2
    MedDRA: Abortion spontaneous, Foetal cardiac disorder, Ultrasound foetal abnormal, 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 · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Miscarriage at 9 weeks and 6 days. No cardiac activity at ultrasound. LMP was 11/16. Very concerned that the vaccine could have caused this miscarriage since the doses were so early in pregnancy. · Healthcare visit (other): Scheduled D&C
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-01-25
    Report sent to call center — day 42, 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
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  15. 2022-01-26
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-11-23Pfizer-BioNTech No
22021-12-14Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-01-25 Successful
2022-01-26
Participant prefers to complete VAERS report online

Free text

Release 10 — day 0, dose 2

2021-12-14

Systemic reaction (other): Potential disruption of normal menses. Had increased days of spotting after 1st dose

Release 10 — day 21, dose 2

2022-01-04

Symptoms: Weakness and nausea from pregnancy

Release 10 — day 35, dose 2

2022-01-18

Symptoms: Sore body could be from a massage i had completed yesterday or from travel

Release 11 — day 42, dose 2

2022-01-25

Symptoms: Miscarriage at 9 weeks and 6 days. No cardiac activity at ultrasound. LMP was 11/16. Very concerned that the vaccine could have caused this miscarriage since the doses were so early in pregnancy.
Healthcare visit (other): Scheduled D&C

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
HCVOUnevaluable event · · ✓
SDAbortion spontaneous · · ✓
SDFoetal cardiac disorder · · ✓
SDPain · · ✓
SDPregnancy · · ✓
SDUltrasound foetal abnormal · · ✓
SROIntermenstrual bleeding · · ✓

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