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PXP-21716-73149

3 vaccinations 15 coded responses 22 check-ins 15 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
661 / KS
Registered
2021-08-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
A4F-26008-82764 Child or adolescent in my care · Male · 2022-01-25

Timeline

  1. 2021-08-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-08-06
    Registered in v-safe
  3. 2021-08-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pregnancy — Feeling: Good
    Free text: Pregnancy
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-08-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Immunodeficiency — Feeling: Good
    Free text: Severe immune deficiency
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Immune system disorder — Feeling: Good
    Free text: Severe immune deficiency
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-11
    Survey response — day 7, dose 1
    MedDRA: Immunodeficiency — Feeling: Good
    Free text: Secere immune deficiency
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-08-18
    Survey response — day 14, dose 1
    MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Miscarriage
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-18
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-08-21
  11. 2021-08-25
    Dose 2 — Pfizer-BioNTech
  12. 2021-08-25
    Survey response — day 0, dose 2
    MedDRA: Immunodeficiency — Feeling: Good · Site: Pain
    Free text: Severe immune deficiency
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-08-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: Severe immune deficiency
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  14. 2021-08-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Immunodeficiency — Feeling: Good
    Free text: Severe immune deficiency
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-08-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Immunodeficiency — Feeling: Good
    Free text: Severe immune deficiency
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-08-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Immunodeficiency — Feeling: Good
    Free text: Severe immune deficiency
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-08-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Immunodeficiency — Feeling: Good
    Free text: Severe immune deficiency
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Immunodeficiency — Feeling: Good
    Free text: Severe immune deficiency
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-09-01
    Survey response — day 7, dose 2
    MedDRA: Immune system disorder — Feeling: Good
    Free text: Severe immune deficiency
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-09-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-09-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-25
    Dose 3 — Pfizer-BioNTech
  24. 2021-09-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-03-26
    Survey response — 6 months, dose 3
    MedDRA: Abortion spontaneous — Feeling: Good
    Free text: Miscarriage
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-09-25
    Survey response — 12 months, dose 3
    MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I have had 3 sequential miscarriages.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-09-25
    Report sent to call center — 12 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  30. 2022-09-27
  31. 2022-09-27

Vaccinations

DoseDateManufacturerCo-administered
12021-08-04Pfizer-BioNTech No
22021-08-25Pfizer-BioNTech No
32021-09-25Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-08-18 Unsuccessful
2022-09-25 Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-06

Systemic reaction (other): Pregnancy

2021-08-09

Systemic reaction (other): Severe immune deficiency

2021-08-10

Systemic reaction (other): Severe immune deficiency

Release 9 — day 7, dose 1

2021-08-11

Systemic reaction (other): Secere immune deficiency

Release 9 — day 14, dose 1

2021-08-18

Symptoms: Miscarriage

Release 9 — day 0, dose 2

2021-08-25

Systemic reaction (other): Severe immune deficiency

Release 9 — days 1–6 daily, dose 2

2021-08-26

Systemic reaction (other): Severe immune deficiency

2021-08-27

Systemic reaction (other): Severe immune deficiency

2021-08-28

Systemic reaction (other): Severe immune deficiency

2021-08-29

Systemic reaction (other): Severe immune deficiency

2021-08-30

Systemic reaction (other): Severe immune deficiency

2021-08-31

Systemic reaction (other): Severe immune deficiency

Release 9 — day 7, dose 2

2021-09-01

Systemic reaction (other): Severe immune deficiency

Release 11 — 6 months, dose 3

2022-03-26

Symptoms: Miscarriage

Release 12 — 12 months, dose 3

2022-09-25

Symptoms: I have had 3 sequential miscarriages.

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 ✓ · ✓
SROImmune system disorder ✓ · ✓
SROImmunodeficiency ✓ · ✓
SROPre-existing disease ✓ · ✓
SROPregnancy ✓ · ✓

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

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