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K96-27036-98526

3 vaccinations 5 coded responses 10 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
105 / NY
Registered
2021-04-09
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-09
    Registered in v-safe
  2. 2021-04-09
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Bloody discharge, Pregnancy — Feeling: Fair
    Free text: I am pregnant and I got little blood in my vaginal discharge.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Vaginal haemorrhage — Feeling: Good
    Free text: Bleeding in my vaginal discharge
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-01
    Dose 2 — Pfizer-BioNTech
  11. 2021-05-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abortion spontaneous — Feeling: Poor · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: I had a miscarriage just after getting the second shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-05
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain, Abortion spontaneous, Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: I had a miscarriage on Monday after the second shot on Friday. I had pain in my abdomen and I am very tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-06
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-06-04
  16. 2021-12-10
    Dose 3 — Pfizer-BioNTech
  17. 2022-05-03
    Survey response — 12 months, dose 2
    MedDRA: COVID-19 — 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: I got Covid positive last week.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-05-03
    Report sent to call center — 12 months, 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)
  19. 2022-05-04

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Pfizer-BioNTech
22021-05-01Pfizer-BioNTech
32021-12-10Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-05 Unsuccessful
2021-05-06 Unsuccessful
2022-05-03 Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): I am pregnant and I got little blood in my vaginal discharge.

2021-04-14

Systemic reaction (other): Bleeding in my vaginal discharge

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): I had a miscarriage just after getting the second shot.

2021-05-06

Systemic reaction (other): I had a miscarriage on Monday after the second shot on Friday. I had pain in my abdomen and I am very tired.

Release 11 — 12 months, dose 2

2022-05-03

Symptoms: I got Covid positive last week.

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
SDCOVID-19 · · ✓
SROAbdominal pain ✓ ✓ ✓
SROAbortion spontaneous ✓ ✓ ✓
SROBloody discharge ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓
SROVaginal haemorrhage ✓ ✓ ✓

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