OpenVSafe by OpenVAERS
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2V4-40967-90943

5 vaccinations 14 coded responses 49 check-ins 13 free-text entries 4 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
460 / IN
Registered
2021-02-28
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Dose 1 — Moderna
  2. 2021-02-28
    Registered in v-safe
  3. 2021-03-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-03-09
    Dose 2 — Moderna
  5. 2021-03-09
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-16
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  7. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-03-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-04-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-09
    Survey response — 3 months, dose 2
    MedDRA: Abdominal pain upper, Flank pain, Hot flush, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Right side and lower stomach painHot Flashes · Healthcare visit (other): Doctor office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-06-09
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-09-07
    Survey response — 6 months, dose 2
    MedDRA: Chills, Fatigue, Oropharyngeal pain, Rhinorrhoea, Unevaluable event — Feeling: Fair
    Free text: Tiredness, a slight runny nose, sometimes a few chills and a slight sore throat.Its probably my sinuses. Im feeling better today. The chills and the slight sore throat are gone.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-10-27
    Dose 3 — Moderna
  16. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness
    Adult check-in
  18. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: My arm is just a little sore
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  21. 2021-11-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough — Feeling: Fair · Fatigue or tiredness
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-03
    Survey response — day 7, dose 3
    MedDRA: Muscle spasms — Feeling: Good · Fatigue or tiredness
    Free text: Some leg cramps
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-11-17
    Survey response — day 21, dose 3
    MedDRA: Back pain, Cough — Feeling: Fair
    Free text: I have developed a irritating cough. I'm also having some lower back pain. I'm not sure if it's from the booster. I'm going to check with my doctor regarding the cough to see if it's from another condition I have.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-20
  26. 2021-11-24
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  27. 2021-12-01
    Survey response — day 35, dose 3
    MedDRA: Cough — Feeling: Fair
    Free text: I have a persistent cough.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-01-26
    Survey response — 3 months, dose 3
    MedDRA: Chills, Cough, Fatigue, Pain, Rhinorrhoea — Feeling: Good · 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: Runny nose, body aches, cough, chills, tiredness
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-01-26
    Report sent to call center — 3 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)
  31. 2022-01-27
  32. 2022-04-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-07-15
    Dose 4 — Moderna
  34. 2022-07-15
    Health check-in — day 0, dose 4
    Feeling: Fair · None
    Adult check-in
  35. 2022-07-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness, Nausea
    Adult check-in
  36. 2022-07-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  37. 2022-07-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · None
    Adult check-in
  38. 2022-07-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · None
    Adult check-in
  39. 2022-07-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  40. 2022-07-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  41. 2022-07-22
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  42. 2022-07-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-08-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-08-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-08-21
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-08-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-10-15
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-11-30
    Dose 5 — Moderna
  49. 2022-12-03
    Survey response — days 1–6 daily, dose 5
    MedDRA: Neck pain — Feeling: Fair · Headache
    Free text: Neck pain
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-12-04
    Survey response — days 1–6 daily, dose 5
    MedDRA: Neck pain — Feeling: Fair · Headache
    Free text: Neck pain
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-12-06
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · None
    Adult check-in
  52. 2022-12-07
    Survey response — day 7, dose 5
    MedDRA: Headache, Neck pain — Feeling: Fair · Headache
    Free text: Neck/head pain
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-12-14
    Survey response — day 14, dose 5
    MedDRA: Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Numbness & tingling left side of face, lips & arm
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-12-14
    Report sent to call center — day 14, dose 5
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  55. 2022-12-15
  56. 2022-12-15
  57. 2022-12-15
  58. 2022-12-15
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  59. 2022-12-15
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  60. 2022-12-15
    Call successful
    Completed over the phone
  61. 2022-12-22
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  62. 2022-12-28
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  63. 2023-01-04
    Health check-in — day 35, dose 5
    Feeling: Fair
    Adult check-in
  64. 2023-01-11
    Survey response — day 42, dose 5
    MedDRA: Neck pain, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  65. 2023-01-11
    Report sent to call center — day 42, dose 5
    Get care from a doctor or other healthcare professional
    1 call case(s)
  66. 2023-01-12
  67. 2023-03-01
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  68. 2023-06-01
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-09Moderna
32021-10-27Moderna No
42022-07-15Moderna No
52022-11-30Moderna No

Call center

4 call center cases

3 successful · 1 unsuccessful

VAERS report filed, before or during a call: 1

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Right side and lower stomach painHot Flashes
Healthcare visit (other): Doctor office visit

Release 9 — 6 months, dose 2

2021-09-07

Symptoms: Tiredness, a slight runny nose, sometimes a few chills and a slight sore throat.Its probably my sinuses. Im feeling better today. The chills and the slight sore throat are gone.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): My arm is just a little sore

2021-10-31

Systemic reaction (other): No

2021-11-02

Systemic reaction (other): Cough

Release 10 — day 7, dose 3

2021-11-03

Systemic reaction (other): Some leg cramps

Release 10 — day 21, dose 3

2021-11-17

Symptoms: I have developed a irritating cough. I'm also having some lower back pain. I'm not sure if it's from the booster. I'm going to check with my doctor regarding the cough to see if it's from another condition I have.

Release 10 — day 35, dose 3

2021-12-01

Symptoms: I have a persistent cough.

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Runny nose, body aches, cough, chills, tiredness

Release 12 — days 1–6 daily, dose 5

2022-12-03

Systemic reaction (other): Neck pain

2022-12-04

Systemic reaction (other): Neck pain

Release 12 — day 7, dose 5

2022-12-07

Systemic reaction (other): Neck/head pain

Release 12 — day 14, dose 5

2022-12-14

Symptoms: Numbness & tingling left side of face, lips & arm

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
HCVOOffice visit ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDBack pain · · ✓
SDChills · · ✓
SDCough · · ✓
SDFatigue · · ✓
SDFlank pain ✓ ✓ ✓
SDHot flush ✓ ✓ ✓
SDHypoaesthesia · · ✓
SDHypoaesthesia oral · · ✓
SDNeck pain · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDParaesthesia · · ✓
SDParaesthesia oral · · ✓
SDRhinorrhoea · · ✓
SDUnevaluable event · · ✓
SROCough · · ✓
SROHeadache · · ✓
SROMuscle spasms · · ✓
SRONeck pain · · ✓
SRONo adverse event · · ✓
SROPain in extremity · · ✓

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