OpenVSafe by OpenVAERS
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4FY-10491-88882

3 vaccinations 15 coded responses 37 check-ins 15 free-text entries 1 call case
Sex
Male
Age at first dose
51-55
ZIP prefix
201 / VA
Registered
2021-03-16
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Moderna
  3. 2021-03-16
    Survey response — day 0, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Grogginess
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Somnolence — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to work
    Free text: Grogginess
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Somnolence — Feeling: Fair · Fever · Headache, Muscle or body aches · Be unable to work
    Free text: Grogginess
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Somnolence — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to work
    Free text: Grogginess
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  8. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-23
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  10. 2021-03-30
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Pain in extremity, Tendon pain — Feeling: Good
    Free text: I had right knee and Achilles heel pain suddenly during the past week that appears to have now disappeared .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-13
    Dose 2 — Moderna
  13. 2021-04-13
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Somnolence — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Grogginess
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Abdominal pain
    Adult check-in
  16. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia oral — Feeling: Good · Site: Pain
    Free text: Tongue Numbness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  18. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-17
    Dose 3 — Moderna
  28. 2021-12-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  29. 2021-12-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Ear pain — Feeling: Fair · Site: Pain
    Free text: Intermittent inner ear pain
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-12-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · None
    Adult check-in
  31. 2021-12-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Upper-airway cough syndrome — Feeling: Good
    Free text: Postnasal drainage
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abdominal pain upper — Feeling: Fair
    Free text: Stomach cramps
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-12-24
    Health check-in — day 7, dose 3
    Feeling: Fair · Headache, Muscle or body aches
    Adult check-in
  34. 2021-12-31
    Survey response — day 14, dose 3
    MedDRA: Headache, Myalgia — Feeling: Poor
    Free text: Headache, muscle aches
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-01-07
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-14
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-21
    Survey response — day 35, dose 3
    MedDRA: Gingival pain, Gingival swelling — Feeling: Good
    Free text: Swollen and painful gums.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-01-28
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-03-18
    Survey response — 3 months, dose 3
    MedDRA: Diarrhoea, Glossodynia, Myalgia, Sinus congestion — Feeling: Good · Be unable to do your normal daily activities
    Free text: Neck and trap muscle soreness, sore tongue, diarrhea, deep sinus congestion
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-06-17
    Survey response — 6 months, dose 3
    MedDRA: Abdominal pain lower, Arthralgia, Back pain, Gingival pain, Myalgia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Extreme lower back muscle pain, extreme hip joint and muscle pain, extreme upper gluteus maximus muscle pain, lower abdominal pain, occasional upper rear molar gum pain
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-06-17
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  42. 2022-06-21
  43. 2022-12-17
    Survey response — 12 months, dose 3
    MedDRA: Gingival bleeding, Gingival swelling, Rash, Skin ulcer — Feeling: Fair
    Free text: Swollen and bleeding gums on rear molars and bumps in chin area that turned into sores.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-13Moderna
32021-12-17Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-16

Systemic reaction (other): Grogginess

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Grogginess

2021-03-18

Systemic reaction (other): Grogginess

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Grogginess

Release 6 — day 14, dose 1

2021-03-30

Symptoms: I had right knee and Achilles heel pain suddenly during the past week that appears to have now disappeared .

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Grogginess

2021-04-16

Systemic reaction (other): Tongue Numbness

Release 10 — days 1–6 daily, dose 3

2021-12-20

Systemic reaction (other): Intermittent inner ear pain

2021-12-22

Systemic reaction (other): Postnasal drainage

2021-12-23

Systemic reaction (other): Stomach cramps

Release 10 — day 14, dose 3

2021-12-31

Symptoms: Headache, muscle aches

Release 11 — day 35, dose 3

2022-01-21

Symptoms: Swollen and painful gums.

Release 11 — 3 months, dose 3

2022-03-18

Symptoms: Neck and trap muscle soreness, sore tongue, diarrhea, deep sinus congestion

Release 12 — 6 months, dose 3

2022-06-17

Symptoms: Extreme lower back muscle pain, extreme hip joint and muscle pain, extreme upper gluteus maximus muscle pain, lower abdominal pain, occasional upper rear molar gum pain

Release 12 — 12 months, dose 3

2022-12-17

Symptoms: Swollen and bleeding gums on rear molars and bumps in chin area that turned into sores.

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
SDAbdominal pain lower · · ✓
SDArthralgia ✓ ✓ ✓
SDBack pain · · ✓
SDDiarrhoea · · ✓
SDGingival bleeding · · ✓
SDGingival pain · · ✓
SDGingival swelling · · ✓
SDGlossodynia · · ✓
SDHeadache · · ✓
SDMyalgia · · ✓
SDPain in extremity ✓ ✓ ✓
SDRash · · ✓
SDSinus congestion · · ✓
SDSkin ulcer · · ✓
SDTendon pain ✓ ✓ ✓
SROAbdominal pain upper · · ✓
SROEar pain · · ✓
SROFeeling abnormal ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROUpper-airway cough syndrome · · ✓

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

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