YD8-27685-93804
2 vaccinations
7 coded responses
7 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 720 / AR
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-05
Dose 1 — Moderna
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2021-04-05
Dose 2 — Moderna
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2021-04-22
Registered in v-safe
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2021-04-22
Survey response — day 14, dose 2MedDRA: Cough, Dyspnoea, Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough Short of breathNausea FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — day 21, dose 2MedDRA: Cough, Dyspnoea — Feeling: Poor · Be unable to work, 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: Coughing an cant breathe when do anythingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Report sent to call center — day 21, 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)
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2021-05-03
Survey response — day 28, dose 2MedDRA: Cough — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Coughing an breathingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 35, dose 2MedDRA: Cough — Feeling: Fair · Be unable to workFree text: Breathing CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-05
Survey response — 3 months, dose 2MedDRA: Cough, Dyspnoea, Fatigue, Office visit — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I cant breathe an cough all time. I had stress test it was ok but. Need some help to get better. Im so tired I have to take a lot off work. Please help · Healthcare visit (other): Echo an stress testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-05
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-12
- 2021-07-12
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2021-10-04
Survey response — 6 months, dose 2MedDRA: Brain fog, Cough, Dyspnoea, Fatigue, Impaired work ability, Mental disorder, Office visit — Feeling: Fair · 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 visitFree text: Symptoms: I have had trouble breathyan coughing an brain fog some I got the last vaccine in April. I had to have stress test ct scan o. Lungs an just had to deal with the mental stuff cause no one believes you. I have been working part time cause of exhaustion · Healthcare visit (other): Several outpatient testMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Report sent to call center — 6 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 · 1 call case(s)
- 2021-10-07
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2022-04-07
Survey response — 12 months, dose 2MedDRA: Respiratory disorder — Feeling: Fair · Be unable to work or attend schoolFree text: Breathing issues from vaccinesMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-26 | Unsuccessful | |
| 2021-07-05 | Unsuccessful | |
| 2021-10-04 | Unsuccessful |
Free text
Release 7 — day 14, dose 2
Symptoms: Cough Short of breathNausea Fatigue
Release 8 — day 21, dose 2
Symptoms: Coughing an cant breathe when do anything
Release 8 — day 28, dose 2
Symptoms: Coughing an breathing
Release 8 — day 35, dose 2
Symptoms: Breathing Coughing
Release 9 — 3 months, dose 2
Symptoms: I cant breathe an cough all time. I had stress test it was ok but. Need some help to get better. Im so tired I have to take a lot off work. Please help
Healthcare visit (other): Echo an stress test
Release 9 — 6 months, dose 2
Symptoms: I have had trouble breathyan coughing an brain fog some I got the last vaccine in April. I had to have stress test ct scan o. Lungs an just had to deal with the mental stuff cause no one believes you. I have been working part time cause of exhaustion cut off by CDC
Healthcare visit (other): Several outpatient test
Release 11 — 12 months, dose 2
Symptoms: Breathing issues from vaccines
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 | Brain fog | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Mental disorder | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release