UMM-75364-94584
2 vaccinations
2 coded responses
2 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 894 / NV
- Registered
- 2021-06-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-08
Dose 1 — Pfizer-BioNTech
-
2021-05-28
Dose 2 — Pfizer-BioNTech
-
2021-06-05
Registered in v-safe
-
2021-06-05
Survey response — day 7, dose 2MedDRA: Haemorrhage — Feeling: Fair · Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: BleedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-05
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-08
-
2021-06-08
Call successfulCompleted over the phone
-
2021-06-11
Survey response — day 14, dose 2MedDRA: Abortion spontaneous, Thrombosis — 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 · Emergency room or emergency department visitFree text: Experienced a lot of blood clots and a miscarriage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-11
Report sent to call center — day 14, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-08 | Pfizer-BioNTech | |
| 2 | 2021-05-28 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-05 | Successful 2021-06-08 |
Completed over the phone |
| 2021-06-11 | Unsuccessful |
Free text
Release 8 — day 7, dose 2
Systemic reaction (other): Bleeding
Release 9 — day 14, dose 2
Symptoms: Experienced a lot of blood clots and a miscarriage.
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 | Thrombosis | ✓ | ✓ | ✓ |
| SRO | Haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release