OpenVSafe by OpenVAERS
Search V-safe

4GV-14983-73983

3 vaccinations 6 coded responses 30 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
115 / NY
Registered
2021-01-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-08
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-11
    Dose 2 — Moderna
  10. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-27
    Dose 3 — Moderna
  20. 2021-10-27
    Survey response — day 0, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Headache, Self-medication — Feeling: Good
    Free text: Slight headache - that subsided with tylrniy
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-10-30
    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
  24. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I was in a car accident 10/30/21 so I don't feel great due to that - mostly my left side and headache back shoulder ( I saw a Dr) my point - it's not Covid booster related , that, in my R arm, I feel fine. Have had no adverse reactions frombooster-tx
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain, Road traffic accident — Feeling: Good · Be unable to work or attend school
    Free text: Pain on left side secondary to car accident (someone T- Boned me).
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-04
    Survey response — day 7, dose 3
    MedDRA: Adverse reaction, Road traffic accident — 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: I have symptoms but they are on left side secondary and only after aa car accident which came after my vaccination up until car accident no symptoms anywhere
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-04
    Report sent to call center — day 7, 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)
  28. 2021-11-05
  29. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-01-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-04-27
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-10-27
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-11Moderna
32021-10-27Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 10 — day 0, dose 3

2021-10-27

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Slight headache - that subsided with tylrniy

2021-10-30

Systemic reaction (other): No

2021-11-01

Systemic reaction (other): I was in a car accident 10/30/21 so I don't feel great due to that - mostly my left side and headache back shoulder ( I saw a Dr) my point - it's not Covid booster related , that, in my R arm, I feel fine. Have had no adverse reactions frombooster-tx cut off by CDC

2021-11-02

Systemic reaction (other): Pain on left side secondary to car accident (someone T- Boned me).

Release 10 — day 7, dose 3

2021-11-04

Systemic reaction (other): I have symptoms but they are on left side secondary and only after aa car accident which came after my vaccination up until car accident no symptoms anywhere

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
SROAdverse reaction · · ✓
SROHeadache · · ✓
SRONo adverse event · · ✓
SROPain · · ✓
SROPre-existing disease · · ✓
SRORoad traffic accident · · ✓
SROSelf-medication · · ✓

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