K4M-69637-80074
2 vaccinations
1 coded response
17 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 273 / NC
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Dose 1 — Pfizer-BioNTech
-
2020-12-26
Registered in v-safe
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-07
- 2021-01-14
-
2021-01-15
Dose 2 — Pfizer-BioNTech
-
2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Exposure during pregnancy, Premature separation of placenta — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Placental abruption 1/18/2021 (three days post second vaccine dose)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-24
- 2021-01-31
- 2021-02-11
- 2021-02-14
- 2021-02-19
- 2021-02-26
- 2021-04-18
- 2021-04-29
- 2021-07-16
- 2022-01-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Pfizer-BioNTech | |
| 2 | 2021-01-15 | Pfizer-BioNTech |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Placental abruption 1/18/2021 (three days post second vaccine dose)
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 |
|---|---|---|---|---|
| SRO | Exposure during pregnancy | ✓ | ✓ | ✓ |
| SRO | Premature separation of placenta | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release