249-24047-72959
3 vaccinations
11 coded responses
40 check-ins
11 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 992 / WA
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Moderna
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Asthma — Feeling: GoodFree text: Minor asthma, but nothing out of the ordinaryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
-
2021-04-19
Survey response — day 21, dose 1MedDRA: Diarrhoea — Feeling: FairFree text: Bad diarrhea the last 2 days,. probably from something I ate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Dose 2 — Moderna
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Asthma — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: AsthmaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Headache, Muscle or body achesFree text: Tightness from yesterday's asthmaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Asthma — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Severe asthma attackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: GoodFree text: Mild asthmaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — day 7, dose 2MedDRA: Asthma — Feeling: FairFree text: Mild asthmaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-19
-
2021-05-26
Survey response — day 28, dose 2MedDRA: Chest discomfort, Nasopharyngitis, Oropharyngeal pain — Feeling: GoodFree text: For 2 days, I felt like I had a cold. I had a sore throat and tightness in my chest.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
- 2021-06-07
- 2021-07-26
- 2021-10-25
-
2021-11-01
Dose 3 — Pfizer-BioNTech
- 2021-11-01
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: Some slight light-headednessMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-04
- 2021-11-05
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion — Feeling: FairFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
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2021-11-29
Survey response — day 28, dose 3MedDRA: Asthma, Pre-existing disease, Wheezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Asthma attack on Thursday, then wheezing every day since. I do have bad asthma and don't suspect this is tied to the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-13
-
2022-01-13
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-31
- 2022-05-02
- 2022-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-11-01 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Minor asthma, but nothing out of the ordinary
Release 7 — day 21, dose 1
Symptoms: Bad diarrhea the last 2 days,. probably from something I ate.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Asthma
Systemic reaction (other): Tightness from yesterday's asthma
Systemic reaction (other): Severe asthma attack
Systemic reaction (other): Mild asthma
Release 8 — day 7, dose 2
Systemic reaction (other): Mild asthma
Release 8 — day 28, dose 2
Symptoms: For 2 days, I felt like I had a cold. I had a sore throat and tightness in my chest.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Some slight light-headedness
Systemic reaction (other): Stuffy nose
Release 10 — day 28, dose 3
Symptoms: Asthma attack on Thursday, then wheezing every day since. I do have bad asthma and don't suspect this is tied to the vaccine.
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 | Asthma | · | · | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release