4SN-11895-37066
2 vaccinations
6 coded responses
9 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 758 / TX
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-02-09
Dose 2 — Moderna
-
2021-02-10
Registered in v-safe
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Emergency care, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I went to the emergency room last night with hives and shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: FairFree text: Still have some shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Be unable to workFree text: Still having shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — day 7, dose 2MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Since my second covid shot back in February I have been having shortness of breath. I've been to the doctor and I have put me on trelegy but it does not seem to be working.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-15
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2021-06-18
Call successfulCompleted over the phone
- 2021-08-10
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2022-02-09
Survey response — 12 months, dose 2MedDRA: Asthma, Dyspnoea, Office visit — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I have developed asthma since I recieved the second shot on 2-9- 2021 . I have been having to see a pulmonologist. Still having trouble breathingMedDRA releases: 2024-11 · check-in free text available
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2022-02-09
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
3 call center cases
1 successful · 2 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I went to the emergency room last night with hives and shortness of breath
Systemic reaction (other): Still have some shortness of breath
Systemic reaction (other): Still having shortness of breath
Release 4 — day 7, dose 2
Systemic reaction (other): Shortness of breath
Release 8 — 3 months, dose 2
Symptoms: Since my second covid shot back in February I have been having shortness of breath. I've been to the doctor and I have put me on trelegy but it does not seem to be working.
Release 11 — 12 months, dose 2
Symptoms: I have developed asthma since I recieved the second shot on 2-9- 2021 . I have been having to see a pulmonologist. Still having trouble breathing
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 | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release