ZSR-46812-99620
4 vaccinations
14 coded responses
51 check-ins
14 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 444 / OH
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Moderna
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2020-12-29
Survey response — day 0, dose 1MedDRA: Asthma, Dyspnoea — Feeling: Good · Site: Pain · Fever · Chills, Muscle or body achesFree text: Shortness of breath (asthma like symptoms)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Dyspnoea — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shortness of breath--asthma like symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
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2021-01-12
Survey response — day 14, dose 1MedDRA: Injection site cellulitis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 8 days after my covid vaccine, i developed a cellulitis at my injection site. I saw my doctor who put me on doxycycline. I was on doxycycline for 4.5 days before i was switched to clindamycin ad the cellulitis was not resolvimg.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-20
Survey response — day 21, dose 1MedDRA: Injection site cellulitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I've had pretty significant diarrhea from the antibiotics used to treat the cellulitis at my vaccine injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-30
Dose 2 — Moderna
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2021-01-30
Survey response — day 0, dose 2MedDRA: Musculoskeletal discomfort — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Hip painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-25
- 2021-03-25
- 2021-03-25
- 2021-05-01
- 2021-07-31
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2021-10-28
Dose 3 — Moderna
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, shortness of breathMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Skin burning sensation — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Sunburn sensation to skinMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-11-04
Survey response — day 7, dose 3MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — day 14, dose 3MedDRA: Asthma, Nasopharyngitis, Pre-existing disease, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Viral cold symptoms. Runny nose, congestion, asthma exacerbationMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
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2022-10-17
Dose 4 — Pfizer-BioNTech
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2022-10-17
Survey response — day 0, dose 4MedDRA: Paraesthesia oral — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Tingling around lipsMedDRA releases: 2024-11 · check-in free text available
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2022-10-18
Survey response — days 1–6 daily, dose 4MedDRA: Asthma, Dyspnoea, Eye pain, Hypoaesthesia oral — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Peri oral numbness, eye pain, shortness of breath (similar to one of my asthma exacerbation)MedDRA releases: 2024-11 · check-in free text available
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2022-10-19
Survey response — days 1–6 daily, dose 4MedDRA: Dyspnoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
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2022-10-20
Survey response — days 1–6 daily, dose 4MedDRA: Dyspnoea — Feeling: Fair · Headache, Joint painsFree text: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Survey response — days 1–6 daily, dose 4MedDRA: Dyspnoea — Feeling: Good · Muscle or body achesFree text: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-31
- 2022-11-08
- 2022-11-14
- 2022-11-28
- 2023-01-16
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-10-17 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-30 | Unsuccessful | |
| 2021-01-12 | Unsuccessful | |
| 2021-01-20 | Unsuccessful |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Shortness of breath (asthma like symptoms)
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Shortness of breath--asthma like symptoms
Release 1 — day 14, dose 1
Symptoms: 8 days after my covid vaccine, i developed a cellulitis at my injection site. I saw my doctor who put me on doxycycline. I was on doxycycline for 4.5 days before i was switched to clindamycin ad the cellulitis was not resolvimg.
Release 2 — day 21, dose 1
Symptoms: I've had pretty significant diarrhea from the antibiotics used to treat the cellulitis at my vaccine injection site.
Release 3 — day 0, dose 2
Systemic reaction (other): Hip pain
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cough, shortness of breath
Systemic reaction (other): Sunburn sensation to skin
Release 10 — day 7, dose 3
Systemic reaction (other): Shortness of breath
Release 10 — day 14, dose 3
Symptoms: Viral cold symptoms. Runny nose, congestion, asthma exacerbation
Release 12 — day 0, dose 4
Systemic reaction (other): Tingling around lips
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Peri oral numbness, eye pain, shortness of breath (similar to one of my asthma exacerbation)
Systemic reaction (other): Shortness of breath
Systemic reaction (other): Shortness of breath
Systemic reaction (other): Shortness of breath
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 | Injection site cellulitis | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Eye pain | · | · | ✓ |
| SRO | Hypoaesthesia oral | · | · | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | · | · | ✓ |
| SRO | Skin burning sensation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release