TA2-21364-55592
3 vaccinations
1 coded response
3 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 113 / NY
- Registered
- 2022-01-22
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-17
Dose 1 — Pfizer-BioNTech
-
2021-04-07
Dose 2 — Pfizer-BioNTech
-
2021-12-17
Dose 3 — Pfizer-BioNTech
-
2022-01-22
Registered in v-safe
-
2022-01-22
Survey response — day 35, dose 3MedDRA: Abortion spontaneous, Anxiety, Depressed mood, Vaginal haemorrhage — Feeling: Poor · Be unable to work or attend school, 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 visitFree text: I am recovering from my miscarriage... the bleeding is less... now I have anxiety and sadness about what happened.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-22
Report sent to call center — day 35, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-01-24
- 2022-01-28
- 2022-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Pfizer-BioNTech | No |
| 2 | 2021-04-07 | Pfizer-BioNTech | No |
| 3 | 2021-12-17 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-22 | Unsuccessful |
Free text
Release 11 — day 35, dose 3
Symptoms: I am recovering from my miscarriage... the bleeding is less... now I have anxiety and sadness about what happened.
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 | Anxiety | · | · | ✓ |
| SD | Depressed mood | · | · | ✓ |
| SD | Vaginal haemorrhage | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release