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E86-13390-29433

3 vaccinations 1 coded response 7 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
070 / NJ
Registered
2021-10-26
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-21
    Dose 2 — Pfizer-BioNTech
  3. 2021-10-05
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  4. 2021-10-26
    Registered in v-safe
  5. 2021-10-26
    Survey response — day 21, dose 3
    MedDRA: Abortion spontaneous, Anembryonic gestation, Laboratory test abnormal, Pregnancy, Ultrasound scan abnormal — Feeling: Good
    Free text: On 10/5/21 ultrasound confirmed pregnancy with gestational age of 5 weeks and 4 days. On 10/11/21 ultrasound confirmed a blighted ovum with no fetal heart rate and labs indicating a spontaneous abortion/pregnancy loss.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-11-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  7. 2021-11-09
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  8. 2021-11-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  9. 2022-01-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  10. 2022-04-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  11. 2022-10-05
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Pfizer-BioNTech No
22021-01-21Pfizer-BioNTech No
32021-10-05Pfizer-BioNTech Flu

Free text

Release 10 — day 21, dose 3

2021-10-26

Symptoms: On 10/5/21 ultrasound confirmed pregnancy with gestational age of 5 weeks and 4 days. On 10/11/21 ultrasound confirmed a blighted ovum with no fetal heart rate and labs indicating a spontaneous abortion/pregnancy loss.

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 spontaneous · · ✓
SDAnembryonic gestation · · ✓
SDLaboratory test abnormal · · ✓
SDPregnancy · · ✓
SDUltrasound scan abnormal · · ✓

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

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