Y75-17823-90962
3 vaccinations
2 coded responses
26 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 906 / CA
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-18
Dose 1 — Pfizer-BioNTech
-
2020-12-21
Registered in v-safe
- 2020-12-22
- 2020-12-27
- 2021-01-01
-
2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-08
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
- 2021-02-05
- 2021-02-14
- 2021-02-19
-
2021-04-09
Survey response — 3 months, dose 2MedDRA: Abortion spontaneous, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Had a miscarriage at around 9 weeks gestation. Got my second vaccine on the day I found out I was pregnant at about 5 weeks gestation. · Healthcare visit (other): Ob follow up and procedureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-18
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-27
Dose 3 — Pfizer-BioNTech
-
2021-09-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Chills, Muscle or body achesAdult check-in
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: GoodFree text: I was lightheaded last night.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-09-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-09 | Successful 2021-04-18 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — 3 months, dose 2
Symptoms: Had a miscarriage at around 9 weeks gestation. Got my second vaccine on the day I found out I was pregnant at about 5 weeks gestation.
Healthcare visit (other): Ob follow up and procedure
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): I was lightheaded last night.
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 | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release