MG3-10078-66846
5 vaccinations
2 coded responses
45 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 970 / OR
- Registered
- 2021-04-28
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
G3Y-18197-77142
Child or adolescent in my care · Male · 2022-07-08
Timeline
-
2021-04-28
Registered in v-safe
-
2021-04-28
Dose 1 — Pfizer-BioNTech
-
2021-04-28
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-12
-
2021-05-19
Dose 2 — Pfizer-BioNTech
- 2021-05-19
-
2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, HeadacheAdult check-in
-
2021-05-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · NoneAdult check-in
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-06-23
- 2021-06-30
- 2021-08-19
- 2021-11-17
-
2021-11-20
Dose 3 — Pfizer-BioNTech
-
2022-05-04
Dose 4 — Pfizer-BioNTech
- 2022-05-21
- 2022-05-21
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-08-03
- 2022-11-02
-
2022-11-10
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-11-10
Survey response — day 0, dose 5MedDRA: Pregnancy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: I'm pregnant (in week 6).MedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2022-12-15
- 2023-02-09
-
2023-05-11
Survey response — 6 months, dose 5MedDRA: Premature separation of placenta — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11
-
2023-05-11
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
-
2023-05-12
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Pfizer-BioNTech | |
| 2 | 2021-05-19 | Pfizer-BioNTech | |
| 3 | 2021-11-20 | Pfizer-BioNTech | No |
| 4 | 2022-05-04 | Pfizer-BioNTech | No |
| 5 | 2022-11-10 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 12 — day 0, dose 5
Systemic reaction (other): I'm pregnant (in week 6).
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 | Premature separation of placenta | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release