XMX-13023-58081
3 vaccinations
3 coded responses
22 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 024 / MA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Pfizer-BioNTech
- 2020-12-30
- 2021-01-01
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-13
-
2021-01-20
Dose 2 — Pfizer-BioNTech
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-26
- 2021-01-27
- 2021-02-04
- 2021-02-10
- 2021-02-19
- 2021-02-24
- 2021-03-03
-
2021-04-21
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Miscarriage after first period after complete vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-23
- 2021-07-21
-
2021-10-15
Dose 3 — Pfizer-BioNTech
-
2022-01-20
Survey response — 12 months, dose 2MedDRA: COVID-19, Ectopic pregnancy — Feeling: Fair · Be unable to work or attend schoolFree text: 1) + Covid currently 2) Ectopic pregnancy 2 mos after Covid vaccination in 2020MedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Survey response — 6 months, dose 3MedDRA: Abortion spontaneous, Uterine dilation and curettage — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Had miscarriage 8wks 3/2022 · Healthcare visit (other): D&C procedureMedDRA releases: 2024-11 · check-in free text available
-
2022-04-19
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-20
Call successfulParticipant prefers to complete VAERS report online
-
2022-04-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Pfizer-BioNTech | |
| 2 | 2021-01-20 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-21 | Successful 2022-04-20 |
Participant prefers to complete VAERS report online |
| 2022-04-19 | Successful 2022-04-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — 3 months, dose 2
Symptoms: Miscarriage after first period after complete vaccination
Release 10 — 12 months, dose 2
Symptoms: 1) + Covid currently 2) Ectopic pregnancy 2 mos after Covid vaccination in 2020
Release 11 — 6 months, dose 3
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 |
|---|---|---|---|---|
| HCVO | Uterine dilation and curettage | · | · | ✓ |
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ectopic pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release