EXQ-10270-67476
2 vaccinations
1 coded response
3 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 070 / NJ
- Registered
- 2021-06-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Pfizer-BioNTech
-
2021-04-24
Dose 2 — Pfizer-BioNTech
-
2021-06-08
Registered in v-safe
- 2021-06-08
- 2021-07-25
-
2021-10-25
Survey response — 6 months, dose 2MedDRA: Foetal growth restriction, Placental insufficiency, Premature baby, Premature baby death — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: I was diagnosed with placental insufficiency, and gestational diabetes and my baby with IUGR. He was born 3mo premature and survived 11 days. This is sense I received both doses of the vaccine, but I doubt they contributed to my pregnancy issues.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2021-10-26
-
2021-10-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Pfizer-BioNTech | |
| 2 | 2021-04-24 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-25 | Successful 2021-10-28 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — 6 months, dose 2
Symptoms: I was diagnosed with placental insufficiency, and gestational diabetes and my baby with IUGR. He was born 3mo premature and survived 11 days. This is sense I received both doses of the vaccine, but I doubt they contributed to my pregnancy issues.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Foetal growth restriction | · | · | ✓ |
| SD | Placental insufficiency | · | · | ✓ |
| SD | Premature baby | · | · | ✓ |
| SD | Premature baby death | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release