KPJ-22690-37173
4 vaccinations
1 coded response
26 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 972 / OR
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
G28-81302-69395
Child or adolescent in my care · Male · 2022-06-27
YNV-14036-77961
Child or adolescent in my care · Male · 2022-07-23
Timeline
-
2020-12-29
Dose 1 — Pfizer-BioNTech
-
2021-01-04
Registered in v-safe
- 2021-01-04
- 2021-01-05
-
2021-01-12
Survey response — 14 day, dose 1MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-12
Report sent to call center — 14 day, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-19
Dose 2 — Pfizer-BioNTech
-
2021-01-19
Health check-in — 0 day, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
-
2021-02-12
Call successfulCompleted over the phone
- 2021-02-23
- 2021-03-04
- 2021-04-22
- 2021-07-20
-
2021-08-24
Dose 3 — Pfizer-BioNTech
- 2022-01-19
-
2022-09-17
Dose 4 — Pfizer-BioNTech
- 2022-09-26
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-31
- 2022-12-17
- 2023-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Pfizer-BioNTech | |
| 2 | 2021-01-19 | Pfizer-BioNTech | |
| 3 | 2021-08-24 | Pfizer-BioNTech | No |
| 4 | 2022-09-17 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-12 | Successful 2021-02-12 |
Completed over the phone |
Free text
Release 1
Symptoms: Miscarriage at 6 weeks
Free-text releases are not linked to a specific 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 | Abortion spontaneous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release