M2A-11730-89015
1 vaccination
1 coded response
1 check-in
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 331 / FL
- Registered
- 2021-09-03
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-10
Dose 1 — Pfizer-BioNTech
-
2021-09-03
Registered in v-safe
-
2021-09-03
Survey response — day 21, dose 1MedDRA: Abortion spontaneous, Haemorrhage — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Complications from Miscarriage / severe hemorrhageMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-03
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-07
-
2021-09-08
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-03 | Successful 2021-09-08 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — day 21, dose 1
Symptoms: Complications from Miscarriage / severe hemorrhage
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 | Abortion spontaneous | ✓ | · | ✓ |
| SD | Haemorrhage | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release