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ENY-19900-63252

3 vaccinations 1 coded response 8 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
946 / CA
Registered
2021-04-28
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-28
    Registered in v-safe
  3. 2021-04-28
    Dose 2 — Pfizer-BioNTech
  4. 2021-04-28
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness
    Adult check-in
  6. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  7. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache
    Adult check-in
  8. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  10. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-07-28
    Survey response — 3 months, dose 2
    MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: miscarriage
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-07-28
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-08-02
  14. 2021-12-08
    Dose 3 — Moderna

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Pfizer-BioNTech
22021-04-28Pfizer-BioNTech
32021-12-08Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-07-28 Unsuccessful

Free text

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: miscarriage

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 ✓ · ✓

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

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