T85-18714-05150
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 523 / IA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Pfizer-BioNTech
-
2021-01-16
Registered in v-safe
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2021-01-19
- 2021-01-23
- 2021-01-29
-
2021-02-03
Dose 2 — Pfizer-BioNTech
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Ovarian cyst — Feeling: Poor · Nausea · Be unable to workFree text: Had to go to the er had ovarian wMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Ovarian cyst — Feeling: Fair · Abdominal pain · Be unable to workFree text: From ovarian cystMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-26
- 2021-03-05
- 2021-05-07
-
2022-02-07
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Uterine dilation and curettage — Feeling: Fair · Be unable to work or attend schoolFree text: Miscarriage 11/22/21 D and C 11/23/21MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Had to go to the er had ovarian w
Systemic reaction (other): From ovarian cyst
Release 11 — 12 months, dose 2
Symptoms: Miscarriage 11/22/21 D and C 11/23/21
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 | Uterine dilation and curettage | · | · | ✓ |
| SRO | Ovarian cyst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release