W9U-10807-52263
3 vaccinations
1 coded response
14 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 558 / MN
- Registered
- 2021-11-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Dose 1 — Pfizer-BioNTech
-
2021-05-05
Dose 2 — Pfizer-BioNTech
-
2021-11-20
Dose 3 — Pfizer-BioNTech
-
2021-11-21
Registered in v-safe
-
2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-26
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-29
- 2022-01-01
- 2022-02-19
-
2022-05-21
Survey response — 6 months, dose 3MedDRA: Infection, Premature labour — Feeling: Good · 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 visit, HospitalizationFree text: Preterm delivery of my baby at 29 weeks gestation. Had an infection of my placenta. Baby is healthy. I was pregnant when I received my booster.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-21
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-05-23
- 2022-11-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Pfizer-BioNTech | No |
| 2 | 2021-05-05 | Pfizer-BioNTech | No |
| 3 | 2021-11-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-21 | Unsuccessful |
Free text
Release 11 — 6 months, dose 3
Symptoms: Preterm delivery of my baby at 29 weeks gestation. Had an infection of my placenta. Baby is healthy. I was pregnant when I received my booster.
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 | Infection | · | · | ✓ |
| SD | Premature labour | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release