OpenVSafe by OpenVAERS
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4XQ-11364-77536

4 vaccinations 7 coded responses 46 check-ins 6 free-text entries 5 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
787 / TX
Registered
2021-01-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-05
    Registered in v-safe
  2. 2021-01-05
    Dose 1 — Moderna
  3. 2021-01-05
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-02
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-03
    Dose 2 — Moderna
  12. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea
    Adult check-in
  14. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  15. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-22
    Dose 3 — Moderna
  25. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  26. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  28. 2021-10-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-28
    Survey response — day 35, dose 3
    MedDRA: Allergic respiratory symptom, Pre-existing disease — Feeling: Fair
    Free text: Respiratory allergies consistent with prior hx - do not believe vaccine related
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-12-03
    Survey response — day 42, dose 3
    MedDRA: Fatigue, Headache, Pain, Paranasal sinus hypersecretion, Upper-airway cough syndrome — Feeling: Poor
    Free text: Past 4-5 days: Fatigue Headache Post-nasal sinus drainage Generalized body ached
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-01-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-04-24
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  36. 2022-05-15
    Dose 4 — Moderna
  37. 2022-05-15
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-05-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  39. 2022-05-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  40. 2022-05-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  41. 2022-05-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  42. 2022-05-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  43. 2022-05-22
    Health check-in — day 7, dose 4
    Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  44. 2022-05-29
    Survey response — day 14, dose 4
    MedDRA: Adenoviral conjunctivitis — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Severe left eye adenoviral conjunctivitis - probably not related at all to the vaccination
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-05-29
    Report sent to call center — day 14, dose 4
    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)
  46. 2022-05-31
    Call successful
    Participant prefers to complete VAERS report online
  47. 2022-06-05
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  48. 2022-06-12
    Survey response — day 28, dose 4
    MedDRA: Chills, Cough, Decreased appetite, Dyspnoea, Fatigue, Headache, Pain, SARS-CoV-2 test positive, Sneezing, Unevaluable event, Upper-airway cough syndrome — 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 · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Positive covid: cough, H/A, fatigue, SOB, body aches, chills, post nasal drainage, loss of appetite, sneezing. Symptoms started prior to positive test. · Healthcare visit (other): Scheduled tomorrow for home monoclonal antibody infusion
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-06-12
    Report sent to call center — day 28, dose 4
    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 · 1 call case(s)
  50. 2022-06-13
    Call successful
    Participant prefers to complete VAERS report online
  51. 2022-06-19
    Survey response — day 35, dose 4
    MedDRA: Abdominal discomfort, Fatigue — 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
    Free text: GI upset following Paxlovid and con't fatigue
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-06-19
    Report sent to call center — day 35, dose 4
    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 · 1 call case(s)
  53. 2022-06-21
  54. 2022-06-21
  55. 2022-06-21
  56. 2022-06-26
    Survey response — day 42, dose 4
    MedDRA: Brain fog, Distractibility, Disturbance in attention, Dyspnoea, Fatigue, Headache, Tinnitus — Feeling: Fair · 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: 1. Low grade H/A - mostly frontal 2. Constant tinnitus - worse in left ear 3. "Brain fog" - distracted - difficulty concentrating 4. Continued SOB 5. Continued fatigue but is slowly abating
    MedDRA releases: 2024-11 · check-in free text available
  57. 2022-06-26
    Report sent to call center — day 42, dose 4
    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)
  58. 2022-06-27
  59. 2022-06-27
  60. 2022-06-27
  61. 2022-06-27
  62. 2022-08-14
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  63. 2022-11-13
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  64. 2023-05-17
    Survey response — 12 months, dose 4
    MedDRA: Greater trochanteric pain syndrome, Labile hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  65. 2023-05-17
    Report sent to call center — 12 months, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  66. 2023-05-18
  67. 2023-05-18
  68. 2023-05-18

Vaccinations

DoseDateManufacturerCo-administered
12021-01-05Moderna
22021-02-03Moderna
32021-10-22Moderna No
42022-05-15Moderna No

Call center

5 call center cases

2 successful · 3 unsuccessful

See the call center timeline

Free text

Release 10 — day 35, dose 3

2021-11-28

Symptoms: Respiratory allergies consistent with prior hx - do not believe vaccine related

Release 10 — day 42, dose 3

2021-12-03

Symptoms: Past 4-5 days: Fatigue Headache Post-nasal sinus drainage Generalized body ached

Release 11 — day 14, dose 4

2022-05-29

Symptoms: Severe left eye adenoviral conjunctivitis - probably not related at all to the vaccination

Release 12 — day 28, dose 4

2022-06-12

Symptoms: Positive covid: cough, H/A, fatigue, SOB, body aches, chills, post nasal drainage, loss of appetite, sneezing. Symptoms started prior to positive test.
Healthcare visit (other): Scheduled tomorrow for home monoclonal antibody infusion

Release 12 — day 35, dose 4

2022-06-19

Symptoms: GI upset following Paxlovid and con't fatigue

Release 12 — day 42, dose 4

2022-06-26

Symptoms: 1. Low grade H/A - mostly frontal 2. Constant tinnitus - worse in left ear 3. "Brain fog" - distracted - difficulty concentrating 4. Continued SOB 5. Continued fatigue but is slowly abating

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 · · ✓
HCVOUnevaluable event · · ✓
SDAbdominal discomfort · · ✓
SDAdenoviral conjunctivitis · · ✓
SDAllergic respiratory symptom · · ✓
SDBrain fog · · ✓
SDChills · · ✓
SDCough · · ✓
SDDecreased appetite · · ✓
SDDistractibility · · ✓
SDDisturbance in attention · · ✓
SDDyspnoea · · ✓
SDFatigue · · ✓
SDGreater trochanteric pain syndrome · · ✓
SDHeadache · · ✓
SDLabile hypertension · · ✓
SDPain · · ✓
SDParanasal sinus hypersecretion · · ✓
SDPre-existing disease · · ✓
SDSARS-CoV-2 test positive · · ✓
SDSneezing · · ✓
SDTinnitus · · ✓
SDUpper-airway cough syndrome · · ✓

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

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