XV9-33640-04655
3 vaccinations
4 coded responses
21 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 303 / GA
- Registered
- 2020-12-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-19
Registered in v-safe
-
2020-12-19
Dose 1 — Pfizer-BioNTech
-
2020-12-19
Survey response — day 0, dose 1MedDRA: Exposure during pregnancy — Feeling: Good · HeadacheFree text: PregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2020-12-21
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy, Vaginal haemorrhage — Feeling: GoodFree text: Vaginal bleeding, 4 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-28
Survey response — day 7, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: Pregnancy, 5 weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
- 2021-01-09
-
2021-01-10
Dose 2 — Pfizer-BioNTech
- 2021-01-16
- 2021-01-17
- 2021-01-26
- 2021-01-31
- 2021-02-07
- 2021-02-14
-
2021-02-21
Survey response — day 42, dose 2MedDRA: Abortion spontaneous, Office visit — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Miscarriage · Healthcare visit (other): Ob visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
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)
- 2021-04-11
-
2021-05-04
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-20
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-10-04
- 2021-10-13
- 2021-10-20
- 2021-10-25
- 2021-11-01
- 2021-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-19 | Pfizer-BioNTech | |
| 2 | 2021-01-10 | Pfizer-BioNTech | |
| 3 | 2021-09-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-21 | Successful 2021-05-04 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Pregnancy
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Vaginal bleeding, 4 weeks pregnant
Release 1 — day 7, dose 1
Systemic reaction (other): Pregnancy, 5 weeks
Release 4 — day 42, dose 2
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Exposure during pregnancy | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release