What v-safe registrants wrote to the CDC after their Pfizer or Moderna shots, in their own words. Each card is one person,
with all of their free text. This page shows only the longer stories: the 116,000 people who wrote at least 400 characters in all.
The text is as the CDC released it, except that email addresses and phone numbers are hidden.
You get a random set of these people on every visit.
Rash papular, Herpes zoster and Hypersensitivity
3.26.2021 – Not a heavy rash but feels like raised bump s on stomach and arms
4.14.2021 – Mild headache from allergies prior to vaccine
4.16.2021 – Had fever of 101-102 for 12 hours but it broke at 2am and today feel pretty much myself
4.18.2021 – Headache I believe is due to sinusitis. Treated at an urgent care
4.29.2021 – Ive had a migraine like headache on and off since 2 weeks after my first shot. Might be seasonal allergies but it has come on suddenly. Worse w activity
4.14.2022 – Shingles My dr office in person visit
Immune thrombocytopenia, Platelet count decreased and Dysuria
12.31.2020 – Bad cramping. Also Glucose reading 350 for 24 hours. Going back down now
2.9.2021 – Having and issue with urinating also had this during first shot. Seems to go away within 2 weeks. Dr could not find any uti issues
3.2.2021 – Platelets are dropping
3.10.2021 – Platelets still dropping down from 180 to 83
4.27.2021 – Platelets dropped to 73. Dr monitoring not coming back up Started during first shot.
7.27.2021 – Low platelets
1.26.2022 – ITP low platelets Hematologist oncologist
Adverse food reaction, Food allergy and Mental impairment
1.4.2021 – Mild rash on my face
1.5.2021 – Chest pain, heart rate keep going up and down even if I am not moving (43-80)
1.6.2021 – Chest pain( throughout the day) Foggy brain
1.7.2021 – Foggy brain, unable to think.
1.11.2021 – Skin rash is not improving since last week. It is getting worst. Public health
1.19.2021 – Irregular heart rate and a skin rash all over my body.
3.1.2021 – My back has been hurting since last Wednesday. I been taking pain medication. I have not seek medical attention as I was hoping that my sxs would improve over the weekend but the pain is increasing. I will call the doctor today for appt.
3.8.2021 – Infection of Kidneys and UTI. Blood in urine and kidney stone on left kidney.
1.25.2022 – Streptococcus, cough, possible kidney infection. Nasal congestion, headaches.
10.18.2022 – Headache Lump on left tail of breast. I got a biopsy and I'm waiting for results.
Chapped lips, Painful respiration and Conjunctivitis
3.8.2021 – Chest pain when breathing deeply
3.11.2021 – Lymph node pain has moved to opposite side
3.19.2021 – On March 16, a rash on the same arm as the injection site formed. It got bigger and slightly swollen for a couple days, w/ occasional itching. It was also accompanied by some fatigue.
4.3.2021 – Chest aching in same area as with first dose, extends to back
4.9.2021 – More seasonal allergy symptoms than usual
4.23.2021 – Conjunctivitis, severely chapped lips
7.2.2021 – Noted frequent bloating a couple weeks after second vaccine that still persists: Did not seem related at first Laboratory in person visits
4.22.2022 – Muscle twitching
4.25.2022 – Underarm lymph nodes pain
Muscle spasms, Paresthesia and Dyspnea
1.16.2021 – I tested positive for covid 5 days after getting the first vaccine. I know the vaccine didnt give it to me. Is there any thing to be concerned about with the vaccine and covid diagnosis so soon together?
2.8.2021 – Muscle spasm 3 times so far in the injected arm within 10 minutes of receiving the shot
2.9.2021 – Tingling feeling in my fingers on the arm with the shot
2.10.2021 – Pain at the injection site persistent and intense but manageable
3.8.2021 – I get really tired about once a week and feel i need to sleep 12 hours. I have since had covid
3.23.2022 – Shortness of breath 3 times over the last 3 months(once a month or so) for no apparent reason. Used symbicort to ease the shortness If breath and it eventually went away.
Sleep apnea syndrome, Muscle twitching and Gastroesophageal reflux disease
3.1.2021 – Chest feels kinda funny
3.2.2021 – Chest pain increased. Hospital visit.
3.3.2021 – Chest discomfort
3.4.2021 – Chest discomfort 1,2 out of scale of 10 Follow up with doctors about pain.
3.15.2021 – Asthma.
3.25.2021 – Bicep was twitching. Pair under right pectoralis. Same acid reflux/chest discomfort after 1st shot.
3.28.2021 – Asthma is triggered.
3.29.2021 – Ended up on prednisone for asthma / short of breath after strep. Not sure if related to vaccine
3.31.2021 – Acid reflux.
4.7.2021 – Asthma triggered severely. Gastrointestinal distress severe diarrhea
6.23.2021 – Multiple covid symptoms. Negative covid test. Sore throat, runny nose, headache, fatigue, congestion, S.O.B., cough, loss of taste
9.22.2021 – Sleep apnea , acid reflux
Diverticulum, Bradykinesia and Nipple pain
2.20.2021 – Abdominal pain was yesterday after getting home from receiving vaccine
2.22.2021 – Abdominal and stomach discomfort since injection
2.28.2021 – I realized since injection I had more aches and headaches than usual, but seems to be subsiding now.
3.5.2021 – Headaches
3.16.2021 – Soreness in left(injection left arm)pectoral, breast and nipple no longer sore.
6.11.2021 – Its actually a continuing digestive upset, i had initial abdominal pain after on 1st day of 1st vaccination and problems digesting regular diet, increase in acid reflux and weight loss, but I cannot be sure it is a side effect of vaccination.
9.10.2021 – Chronic fatigue, but that was after my 1st Shingles vaccine about 1 month ago
10.22.2021 – Very itchy all over began day after vaccination
11.21.2021 – Ear pain, sore throat, fatigue, brain fog. Negative COVID test. Recap: For 10 days after booster shot had really itchy skin.
1.16.2022 – It's actually a continuing problem, digestive problems that have continued after I experienced abdominal pain after 1st vaccination. Gastroenerologist
4.19.2022 – Day after booster mild sore throat
4.21.2022 – 4 days ago noticed light rash top of thigh, dime size
4.28.2022 – Tinnitus is so much worse since booster
5.19.2022 – Abdominal pain, digestive issues. Last year when I received 1st vaccine, I had abdominal pain, my digestion was bad all last year, I lost weight and had to supplement my diet with protein drinks, was diagnosed in Jan '22 with Gastritis & Diverticulos Colonoscopy and Gastroscopy, taking proton pump inhibitor and Metamucil, was starting to feel better and put on weight, but after 2nd booster symptoms have increased. I already had GERD, so hard to tell if vaccine made things worse or not
Muscle rigidity, Adverse drug reaction and Mobility decreased
1.17.2021 – Light headed, dizzy
1.31.2021 – Severe pain in both legs with severe rigidity of both legs. Bloodwork indicates muscle breakdown or trauma. Undergoing inpatient testing; doctors are baffled.
2.7.2021 – Severe reaction to one dose of the statin Crestor. Required admission to hospital for 3 days.
3.11.2021 – Diarrhea, nausea, headache, achy
2.14.2022 – Dx with COVID 11/22/21. Received monoclonal antibody infusion on 11/23/21. Symptoms: fever, severe myalgia, cough, sore throat, severe headache, diarrhea, trouble breathing, loss taste and smell (returning sporadically at this point). In bed 10 da
Gait disturbance, Bone pain and Visual impairment
3.19.2021 – Swollen neck glands, eyes extremely painful, stiff neck, the chills and headache are off the charts!!
3.21.2021 – Got some mild dizziness with vision change for 5 minutes
3.22.2021 – tenderness where got vaccine injection.
3.24.2021 – Tenderness at injection in arm. Some tiredness. Eyes ache a little..
4.9.2021 – Very horrible intense pain in bones and joints all night. Never slept. Could barely walk in house a.m.
4.12.2021 – Had heart racing and beating hard for hours. Also pale and start to get dizzy. When husband saw me after he got home, he insisted I lie down and it helped after 1/2 hour. Wonder if it was the generic claritin D that did that to me?
4.13.2021 – My left chest feels a little pressure.
4.15.2021 – Back of left knee swollen and lump. It affects my walking and stair climbing because of pain limitations. Made Doctor appointment for today because of the pain in back of knee
4.29.2021 – Intense racing, pounding heart for no reason that lasted a few minutes. Happened several times. ( Not the fluttering we all get)
2.20.2022 – I am responding to show you what I went through beginning 7 hours after booster.
Pharyngeal disorder, Bursitis and Flushing
2.3.2021 – Headache, flushing, nasal pharyngeal irritation, fatigue -all episodiccomes and goes, and feel fine in between. Good day, not as good day. Like mild version of symptoms I had in April. Never fever or cough, so not tested.
2.10.2021 – Continuing episodic headache, fatigue, nasopharyngeal irritation
7.21.2021 – Worsened migrainous episodes
4.2.2022 – Covid symptoms consisting of bad head cold and lots of nasopharyngeal congestion in Jan.
6.25.2022 – Hip bursitis Consulted relative who is orthopedic surgeon and put on meloxicam
Rash pruritic, Rash and Chills
1.12.2021 – Note. Almost no pain after 24 hpurs and none after 48 hours.
1.21.2021 – Achy, tired
2.4.2021 – Theae were yesterday. Mostly gone today. No chills today.
2.16.2021 – I realized a few days ago rhat a very itchy rash on my kegs,which started later than 2-9 could be a reaction to tbe vaccine. At first i though it was bug bites,bit as it spread and got worse it occurred to me that i should have reported it earlier.
2.23.2021 – Huge itchy rash over both kegs and injection arm. Dermatologist says it us a reaction to the vaccine. Staeted abouf 3 or 4 days after shot #2. Exam in Dr.'s office
Sensitivity to weather change, Sinus headache and Lymphadenopathy
3.8.2021 – Swelling of lymphoid at left collarbone
3.9.2021 – Swelling of left gland at collarbone
3.10.2021 – Swelling at left lymph node on collarbone
3.11.2021 – Slight swelling at left lymph node at collarbone.
3.12.2021 – Swelling of left lymph node at collarbone.
3.13.2021 – Minimal swelling of left lymph node at collarbone
3.27.2021 – Worst sinus headache ever due to storm front coming in and the pressure change. I have lives in the same region my entire life and I have never had those before, EVER.
4.22.2021 – Out of sorts.
7.15.2021 – Congestion, cough
10.14.2021 – Unexplained random sweeping of glands, just a overall blahness.
Sensation of foreign body, Lower respiratory tract infection and Body temperature increased
4.9.2021 – A few minutes after the shot (15 or so), I felt like I had a little lump in my throat, similar to after I get my allergy shots sometimes.
8.6.2021 – I had a pretty had head/chest cold for over a week, with a temp of 99-100 for a few days. I tested for COVID-19 twice though during that time, and was negative.
10.23.2022 – Minor sore throat
12.25.2022 – Had minor hoarseness/scratchy throat that lasted like 2-3 weeks. Not sure if it was a bug, or just due to seasonal changes, allergies, etc.
Intestinal stenosis, Lung opacity and Hernia repair
3.25.2021 – Since I have multiple health conditions, i am only reporting any differences since my vaccine. I'm trying to differentiate between them.
3.27.2021 – Only feel feverish this evening. Woke up this morning with my left lymph node under my jaw swollen and a slight sore throat. Have had some extra pressure behind my eyes, especially left, and some different blurry vision for 2 days now, but thinking it's getting better. Just to note: i have autoimmune, am also immuno-compromised, and have pulmonary hypertension in case it helps with any studies.
3.29.2021 – Woke up with left gland under jaw swollen again and sore / burning throat. Has so far lasted the day
4.15.2021 – Continued issues with my left lymph node under my jaw and in general feeling worse than usual. Didn't think it was much until my doctor felt it today and said it's very tight and I have an unusual lump in my neck now. She ordered an ultrasound to see Scheduled in person appt with my primary doctor. She felt a lump she is concerned about and ordered an ultrasound. Praying it's nothing.
4.22.2021 – My doctor felt a lump in my neck, but luckily it was gone when I had the ultrasound a few days later.My WBC has been elevated and I've been feeling worse, but my doctor and I are hopeful that with my immune system it's just the vaccine working. In person scheduled appointment
4.30.2021 – More discomfort in my neck (tightness, some soreness to the touch), sharp pains in my jaw muscle & deep in my ear (feels different than infection, main pain is under earlobe & behind jaw but deep), sudden & severe headaches, some difficulty swallowin
9.25.2021 – Chest pains, dizziness, short of breath, several passing out spells
3.27.2022 – Chest pains, shortness of breath, possible minor heart attack. Also worsening instestinal conditions (20 yrs of ulcerative colitis has now been changed to Crohn's, had major flare up, and now have at least one stricture). Other issues as well, Various tests including as outpatient (nuclear stress test and colonoscopies). Other have me seeing new Drs (neurologist & ENT)
10.18.2022 – Jaw and ear pain/pressure
10.28.2022 – Spine and nerve pain
11.18.2022 – Shortness of breath, loss of appetite, crushing pain and pressure thru my upper back and chest to my chest plate, and it hurts to breath. An abdominal/pelvic CT showed part of a tree-in bud nodule with ground glass, this hasn't been followed up.
12.1.2022 – In addition to back & chest pain/pressure getting worse, i apparently have quite a few tree-in bud nodules in my lungs now. Specialist appt
Hypoesthesia, Diarrhea and Injection site pain
2.12.2021 – Much less fatigue than yesterday.
2.24.2021 – A few days ago I had a couple days of diarrhea. I dont know if it had anything to do with my second shot or food I ate. I didnt think to report it on those days check ins.
5.12.2021 – Occasional numbness in my fingers. Dont know of it has anything to do with the vaccine.
9.18.2021 – I have had none of the above conditions today. The day after my booster shot I had extreme fatigue, slight temperature and very painful injection site.
Body temperature fluctuation, Body temperature increased and Injection site pain
1.24.2021 – The pain at the injection site is less than yesterday
2.13.2021 – On February 21 in the evening my temperature climbed from my usual normal of 96.6 F to 101.3F and then it returns to normal within 5 hours after it began to increase. I had no other physical symptoms whatsoever.
2.21.2021 – Although my temperature reporters was only 96.8, just to let you know, my normal daily temperature is right tomorrow 96.5. So at 98.6 I felt somewhat chilly.
4.14.2022 – Today is 10 days since I received the last vaccination. Just to let you know I did experience a slight temperature elevation and overall ache for the first two days
Libido decreased, Dysphonia and Ear discomfort
12.20.2020 – Slight hoarseness, throat irritation, very minor congestion, right ear very minor discomfort. Wondering if onset of these symptoms preceded vaccine
12.21.2020 – Hoarseness, sore throat and ear pain is almost resolved, less than yesterday
4.11.2021 – 2 weeks with runny nose, 4 weeks of headache and sinus congestion.
7.10.2021 – Joint pain more than usual. Starting physical therapy for shoulder pain. Since receiving vaccine periods are now irregular and sex drive is decreased. Attributed it to age but correlates with vaccine when I think about the inset and drastic change.
Gait disturbance, Joint swelling and Back pain
5.25.2021 – right knee & slight pain on side of right leg & on top of right foot
5.26.2021 – have had pain on knee & right leg since I got the COVID- injection..causing slight difficult in walking..especially in the morning..taking natural joint pain relievers
6.13.2021 – muscle pain/ ache left middle back
6.15.2021 – swelling in knee has decreased/ pain in back is a little better
7.15.2021 – Right knee ( back of knee) continues to pain off & on..Doing exercise..which helps..will see primary care next week.( also taking natural pain relievers)
Seasonal allergy, Eye pruritus and Injection site pruritus
3.2.2021 – Injected arm began itching 8 days post injection. After four days the itching abruptly stopped. No problems since.
3.16.2021 – Pollen allergy symptoms, runny nose
3.18.2021 – Pollen allergies, runny nose, itchy eyes. Taking antihistamines.
3.19.2021 – Taking antihistamines for pollen allergies
3.30.2021 – Pollen allergies have been awful this past week. Treated with OTC medications.
5.5.2022 – Positive COVID-19 test sore throat dry cough no fever or chills stuffy nose
Brain fog, Anosmia and Myalgia
4.23.2021 – Elbow pains
12.28.2021 – Cough (mild, non productive), congestion, clear rhinorhea. No fever. COVID antigen test negative on three separate days unable to get PCR tested. Total illness lasted 5 days.
5.15.2022 – Had increased fatigue during week of 5/8/22 to 5/12/22.
5.21.2022 – Fatigue for 3-4 days during early May.
7.5.2022 – On June 21st and 22nd, while visiting (b)(6), SC, I felt ill with fatigue and multiple episodes of diarrhea. Additionally, I had myalgia. Overall, I recovered without problem. COVID test x 2 was negative.
10.20.2022 – Around 10/12/22 to 10/19/22 I had increased fatigue and some 'brain fog' symptoms. I'm doing better today. No other symptoms of fever, congestion, etc.
Movement disorder, Diabetes mellitus and Syncope
12.30.2020 – Numb on AL
1.1.2021 – Light numbness on my index finger and thumb.
1.13.2021 – On Saturday January 9, 2021 , while at work, my body felt as if I was going to faint. I felt nauseated, headache... Worst feeling ever!!! Lasted half of day....
1.27.2021 – Numbness on my forearm. 7 + hrs Urgent care Dr. Decided to keep me in observation for more than 2 hrs.
1.28.2021 – Numb forearm
1.29.2021 – Numbness on my forearm
2.6.2021 – Rushed to the emergency room. ER vaginal ultrasound. I'm in pain. I fainted at WORK!!
2.11.2021 – I'm not the same. ... Head aches. Body aches. Sudden and dizziness, blurred vision, folding over. Abdominal pain unexplained. I want my life back
2.26.2021 – Couldn't move.
4.28.2021 – Headaches,
1.27.2022 – Headache migraine. Rash
Paranoia, Fear and Mental disorder
3.8.2021 – feeling much more clear headed today than the last couple of days
3.10.2021 – I did not think of this before, but it started the day I got vaccinated, I noticed that I have more underarm odor in the vaccinated side. Id put on deodorant but that armpit smelled very strong by the time I got home. I doubted myself on this and did not think to report it, but today I am also perspiring much more than usual - and it is not hot in my house, I am actually cold.
4.22.2021 – I had a headache on Tuesday, unknown if it is related, but headaches are pretty rare for me. It was bad enough to affect my mood and I did take tylenol.
7.1.2021 – I believe I may have mentioned these before but want to be sure it is on record. I have increased underarm of it since the shots - no deodorants are working. I also have lasting inflammation in my arm, causing pins and needles that come and go. Mentioned during yearly in person physical
12.27.2021 – Lack of concentration
12.29.2021 – Sore throat
2.3.2022 – Pinched nerve, like the one I had after my second shot
3.24.2022 – I have an elevated heart rate - resting rate in the 90s - I don't think I reported that last time as I didn't think of it, but since it has continued I am mentioning it now
6.23.2022 – Had covid late April. Physically it was like a cold, but mentally it was very hard. My thinking was very clouded and I became paranoid, fearful, and depressed. Had difficulty doing my job or just basic functioning.
Impaired driving ability, Irritability and Body temperature increased
2.12.2021 – No.
2.13.2021 – No
2.17.2021 – Irritability
2.24.2021 – 12 days of up and down fevers. Fatigue and mild breathing difficulties.
3.3.2021 – Im feeling weak. I dont feel comfortable driving a car. I got my 1st vaccine on 2/10. 2 days later I got a temperature of 100+. It goes down with Tylenol. Ive had 20 days of this. I start and end with 100+. Have taken Bactrim for 7 days-7 mo
3.17.2021 – Fever over 100.4, extreme fatigue, shortness of breath, stomach pain. Tylenol will not bring the fever down now.
Night sweats, Feeling hot and Diarrhea
10.23.2021 – Diarrhea was yesterday after I sent my update. Also, yesterday evening, symptoms heightened. 8hours -almost 9 hours- helped.
10.26.2021 – Injection site (shot location) of arm is slightly sensitive with touch, but the pain in that area is no more.
5.5.2022 – Feverish, but temperature reading is normal. (Couldn't not report above as the responses were not to my case)
5.6.2022 – The chills / night sweats were over night. None during day.
Scab, Injection site discomfort and Injection site reaction
1.15.2021 – Mild to moderate a Chinese Jan. 9 . Except fatigue, no other symptoms until today at injection site where an itch appeared then welt was felt. 30 mins later welt turned red and remains so hours later. There had been no appearance on injection site until today.
1.22.2021 – Jan. 14:Experienced abdominal cramping and emptied bowels completely over course of about 4 hours and felt poorly the rest of day curtailing activities. Unknown if related to vaccine. Major joints feeling achey since then.
2.6.2021 – I realized my arm was very swollen yesterday but realized it after checking in yesterday
2.9.2021 – I only feel slight discomfort in injection sight if leaning on it.
2.11.2021 – Nausea only lasted 20-30 minutes
2.19.2021 – Itchy injection arm and upper back since last contact but diminishing with each day since. Little tiny scabs formed following scratching. Very mild fatigue.
2.25.2021 – Experienced diarrhea and intermittent abdominal cramping two nights ago for a few hours. It emptied my system. Fine since then and prior to that time period.
3.19.2021 – Ive had some skin breakout not like pimples that can be slightly itchy sometimes.Also noticing some tenderness at vaccine site when sleeping on it which is rare.
Migraine with aura, Neuropathy peripheral and Hypoesthesia oral
3.6.2021 – Daily headache, though, not severe (May not be directly associated with vaccine, as before vaccination, I stopped my daily anti inflammatory (Indocin) to ensure that my immune system was at full capacity).
3.20.2021 – Some numbness in lower lip, just like I experienced after first inoculation
11.12.2021 – Headache, very similar to the long-lasting headache after my second shot. The headache is most intense behind my eyes and extends across my skull to the crown area. Sometimes it is vey intense, other times relatively mild.
4.26.2022 – Several severe headaches, including a very severe migraine (with aura)
5.10.2022 – Rash and intense itching on the top of one foot. Nothing alleviates it. (This is similar, though, far less widespread, to what my wife has faced following her second vaccination, that intensified greatly after the first booster).
5.17.2022 – Frequent migraines, in addition to the itching I reported last week.
7.12.2022 – Neuropathy in right foot (toes and just behind toes)
Cholelithiasis, Cholecystectomy and Rheumatoid arthritis
2.5.2021 – Late yesterday I had fever, headache, heart racing, and blood pressure shot way up. Lasted about 4-5 hours & was after I had done my daily check in.
2.6.2021 – Light headed, faint
2.7.2021 – Feel light headed and weak
4.9.2021 – Worsening of rheumatoid arthritis symptoms.
6.11.2021 – Chest pain which sent me to ER. Had angiogram. Everything okay. Following week diagnosed with gallstones and sludge. Also diagnosed with large kidney stone lodged in ureter.
9.10.2021 – Had to have gallbladder removal.
Retching, Nodule and Axillary mass
4.28.2021 – Ihad dry heaves about 25 min after shot. Only lasted a minute or so. Felt fine since.
6.24.2021 – The area where i got the shots seem to go numb with a little pressure pit on them. Mainly when i lay down with my head resting on my arms. I recieved the shot in both arms and both are doing that now.
8.31.2021 – I've been very tired. Tips of fingers go knumb often. Shoulders will go knumb when i lay my head on them while laying down
12.1.2021 – I have a knot on the palm of my hand and under my arm. I have to make a doctor appointment to have it checked
Megacolon, Cardio-respiratory arrest and Ileostomy
5.1.2021 – Hard to catch my breath, and still have diarrhea.
10.9.2021 – I ended up contracting some type of infection was in the hospital for over a month ended up getting having to have a ileostomy put in Lost over 80 lb and dealing with that continual weight loss. And have no energy.
12.1.2021 – I have had septice which turned into megacolon, which turned into C-DIF. Had to have 3 major surgeries, (coded twice on the table), resulting in an ileostomy. Since then have lost 90+lbs. Hospitalized w/pneumonia. Know one knows cause.
Blood urea increased, Blood creatine increased and Glomerular filtration rate decreased
4.7.2021 – Blisters in mouth
4.8.2021 – Still blisters in my mouth
4.9.2021 – Blisters in my mouth and a cough
4.24.2021 – Arm where I got my vaccine has ached like the upper arm is tender and bruised. Itchy rash on my face cheek.
5.1.2021 – I still have this itching rash on my face and my arm that got the vaccine in still hurts and aches in the upper arm whenever I lift it.
7.5.2021 – Stage 3b kidney failure Dr appointment
10.3.2021 – Stage 3b kidney failure
4.3.2022 – CKD and anemia, gout
4.24.2022 – Pain in my arm
5.21.2022 – My eGFR went from 41 to 25. My BUN has gone up also my creatinine went up.
5.29.2022 – Fatigue
7.23.2022 – Stuffy nose cough fatigue
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