UR5-22861-76524
2 vaccinations
3 coded responses
8 check-ins
3 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 31-35
- ZIP prefix
- 495 / MI
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Pfizer-BioNTech
-
2021-01-11
Registered in v-safe
- 2021-01-11
- 2021-01-12
- 2021-01-13
-
2021-01-27
Dose 2 — Pfizer-BioNTech
- 2021-02-10
- 2021-02-17
-
2021-02-24
Survey response — day 28, dose 2MedDRA: Abortion spontaneous — Feeling: Poor · Be unable to do your normal daily activitiesFree text: MiscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — day 35, dose 2MedDRA: Abortion spontaneous — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: MiscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-12
Survey response — day 42, dose 2MedDRA: Adverse reaction — Feeling: Fair · Be unable to work, 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: Gall bladder, pancreatic issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-03 | Unsuccessful | |
| 2021-03-12 | Unsuccessful |
Free text
Release 4 — day 28, dose 2
Symptoms: Miscarriage
Release 5 — day 35, dose 2
Symptoms: Miscarriage
Release 5 — day 42, dose 2
Symptoms: Gall bladder, pancreatic issues
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 | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release