OpenVSafe by OpenVAERS
Search V-safe

2BN-33138-94613

3 vaccinations 8 coded responses 8 check-ins 7 free-text entries 6 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
974 / OR
Registered
2022-04-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-09-24
    Dose 2 — Pfizer-BioNTech
  3. 2022-04-10
    Dose 3 — Moderna
  4. 2022-04-25
    Registered in v-safe
  5. 2022-04-25
    Survey response — day 14, dose 3
    MedDRA: Back pain, Flank pain, Herpes zoster, Rash — 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
    Free text: Severe pain 24:7 left side of body, trunk. Front around to upper back. Rash on this one side of body. Diagnosed with shingles triggered by moderna booster.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-04-25
    Report sent to call center — day 14, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  7. 2022-04-26
    Call successful
    Participant prefers to complete VAERS report online
  8. 2022-05-01
    Survey response — day 21, dose 3
    MedDRA: Back pain, Pain, Rash — 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
    Free text: Rash, Severe pain one side of body, torso front to upper back.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-05-01
    Report sent to call center — day 21, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  10. 2022-05-04
    Call successful
    Does not wish to fill out VAERS report
  11. 2022-05-08
    Survey response — day 28, dose 3
    MedDRA: Insomnia, Pain — 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
    Free text: Torso pain one side of body, 24/7. Pain jas not stopped since booster. Can't sleep.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-05-08
    Report sent to call center — day 28, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  13. 2022-05-09
  14. 2022-05-09
  15. 2022-05-09
  16. 2022-05-12
  17. 2022-05-12
  18. 2022-05-15
    Survey response — day 35, dose 3
    MedDRA: Fatigue, Office visit, Rash — 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
    Free text: Extreme fatigue, rash back one side,Urgent care provider notice med they prescribed now causing high bp so now have to go on med to lower. Still no cuff and oximeter received yet , waiting since 4/29/22.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-05-15
    Report sent to call center — day 35, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  20. 2022-05-17
  21. 2022-05-22
    Survey response — day 42, dose 3
    MedDRA: Dizziness, Flank pain, Myalgia — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Side glute pain. Side pain. Main is dizziness.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-05-22
    Report sent to call center — day 42, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-05-23
  24. 2022-05-23
  25. 2022-05-23
  26. 2022-05-26
  27. 2022-05-26
  28. 2022-05-26
  29. 2022-05-26
  30. 2022-05-26
  31. 2022-07-12
    Survey response — 3 months, dose 3
    MedDRA: Erythema, Haemorrhoids, Neuralgia, Pruritus — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Nerve pain, hemorrhoids! First time my life. Itchy redness in neck area
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-10-11
    Survey response — 6 months, dose 3
    MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2024-11 · check-in free text available
  33. 2023-04-10
    Survey response — 12 months, dose 3
    MedDRA: Blood pressure abnormal, Brain fog, Limb mass, Respiratory disorder, Sleep disorder — 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 visit
    MedDRA releases: 2024-11
  34. 2023-04-10
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  35. 2023-04-11
  36. 2023-04-11
  37. 2023-04-11
  38. 2023-04-11
  39. 2023-04-14
  40. 2023-04-14
  41. 2023-04-14
  42. 2023-04-14

Vaccinations

DoseDateManufacturerCo-administered
12021-09-03Pfizer-BioNTech No
22021-09-24Pfizer-BioNTech No
32022-04-10Moderna No

Call center

6 call center cases

2 successful · 4 unsuccessful

See the call center timeline

Free text

Release 11 — day 14, dose 3

2022-04-25

Symptoms: Severe pain 24:7 left side of body, trunk. Front around to upper back. Rash on this one side of body. Diagnosed with shingles triggered by moderna booster.

Release 11 — day 21, dose 3

2022-05-01

Symptoms: Rash, Severe pain one side of body, torso front to upper back.

Release 11 — day 28, dose 3

2022-05-08

Symptoms: Torso pain one side of body, 24/7. Pain jas not stopped since booster. Can't sleep.

Release 11 — day 35, dose 3

2022-05-15

Symptoms: Extreme fatigue, rash back one side,Urgent care provider notice med they prescribed now causing high bp so now have to go on med to lower. Still no cuff and oximeter received yet , waiting since 4/29/22.

Release 11 — day 42, dose 3

2022-05-22

Symptoms: Side glute pain. Side pain. Main is dizziness.

Release 12 — 3 months, dose 3

2022-07-12

Symptoms: Nerve pain, hemorrhoids! First time my life. Itchy redness in neck area

Release 12 — 6 months, dose 3

2022-10-11

Symptoms: Dizziness

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

FieldPreferred term2021-092023-042024-11
SDBack pain · · ✓
SDBlood pressure abnormal · · ✓
SDBrain fog · · ✓
SDDizziness · · ✓
SDErythema · · ✓
SDFatigue · · ✓
SDFlank pain · · ✓
SDHaemorrhoids · · ✓
SDHerpes zoster · · ✓
SDInsomnia · · ✓
SDLimb mass · · ✓
SDMyalgia · · ✓
SDNeuralgia · · ✓
SDOffice visit · · ✓
SDPain · · ✓
SDPruritus · · ✓
SDRash · · ✓
SDRespiratory disorder · · ✓
SDSleep disorder · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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