579-14930-30537
1 vaccination
7 coded responses
11 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 300 / GA
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-06
Dose 1 — Pfizer-BioNTech
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2021-02-07
Registered in v-safe
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2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Feeling abnormal — Feeling: Good · Muscle or body aches, Abdominal painFree text: Slight shortness of breath.....dont feel entirely myself.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Very itchy last night, very unusual. Mild shortness of breath at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: GoodFree text: Occasional shortness of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea, Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Every evening I become very itchy and have a slight rash over various parts of my body. Also feel as if I could use an inhaler due to shortness of breath very occasionally. Very out of the norm for me!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: More frequent shortness of breath today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — day 7, dose 1MedDRA: Dyspnoea — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Shortness of breath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — day 14, dose 1MedDRA: Dyspnoea, X-ray — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Shortness of breath getting worse. Have gone through numerous tests. Going to Cardiologist soon. · Healthcare visit (other): X-raysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-06
- 2021-03-13
- 2021-08-07
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2021-08-30
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Slight shortness of breath.....dont feel entirely myself.
Systemic reaction (other): Very itchy last night, very unusual. Mild shortness of breath at times.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Occasional shortness of breath.
Systemic reaction (other): Every evening I become very itchy and have a slight rash over various parts of my body. Also feel as if I could use an inhaler due to shortness of breath very occasionally. Very out of the norm for me!
Systemic reaction (other): More frequent shortness of breath today.
Release 4 — day 7, dose 1
Systemic reaction (other): Shortness of breath.
Release 4 — day 14, dose 1
Symptoms: Shortness of breath getting worse. Have gone through numerous tests. Going to Cardiologist soon.
Healthcare visit (other): X-rays
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 | X-ray | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release