X2M-16044-82240
2 vaccinations
1 coded response
10 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 207 / MD
- Registered
- 2021-05-22
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-05-22
Registered in v-safe
-
2021-05-22
Dose 1 — Pfizer-BioNTech
-
2021-06-14
Dose 2 — Pfizer-BioNTech
- 2021-06-16
- 2021-06-18
- 2021-06-19
- 2021-06-20
- 2021-06-21
- 2021-06-28
- 2021-07-05
- 2021-07-12
- 2021-07-19
-
2021-07-26
Survey response — day 42, dose 2MedDRA: Stillbirth — 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 visit, HospitalizationFree text: Delivered stillborn baby on July 22, 2021MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-26
Report sent to call center — day 42, 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)
-
2021-07-27
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-22 | Pfizer-BioNTech | |
| 2 | 2021-06-14 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-26 | Successful 2021-07-27 |
Completed over the phone |
Free text
Release 9 — day 42, dose 2
Symptoms: Delivered stillborn baby on July 22, 2021
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 | Stillbirth | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release