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KHY-15780-52088

3 vaccinations 1 coded response 19 check-ins 1 free-text entry 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
190 / PA
Registered
2020-12-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-28
    Registered in v-safe
  2. 2020-12-28
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-28
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  6. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-15
    Dose 2 — Pfizer-BioNTech
  11. 2021-01-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-01-17
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  13. 2021-01-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-01-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-01-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-02-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-12-19
    Dose 3 — Pfizer-BioNTech
  22. 2022-01-15
    Survey response — 12 months, dose 2
    MedDRA: Abortion spontaneous, Premature separation of placenta — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: I suffered an 18 week placental abruption as well as a 6 week miscarriage
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-01-15
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  24. 2022-01-17
    Call successful
    Does not wish to fill out VAERS report
  25. 2022-06-21
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-12-19
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Pfizer-BioNTech
22021-01-15Pfizer-BioNTech
32021-12-19Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-01-17 priority 2/3
2022-01-15 Successful
2022-01-17
Does not wish to fill out VAERS report

Free text

Release 10 — 12 months, dose 2

2022-01-15

Symptoms: I suffered an 18 week placental abruption as well as a 6 week 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 · · ✓
SDPremature separation of placenta · · ✓

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