OpenVSafe by OpenVAERS
Search V-safe

5A5-10941-65561

1 vaccination 5 coded responses 8 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
944 / CA
Registered
2021-05-30
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
1415690 (opens in a new window) high 9 / 11 — 2 of 14 VAERS symptoms same dose (1) CA matches 2021-05-12 / 2021-05-12 / 2021-06-21
received 144 days before the last call
 case 1165204

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

  1. 2021-05-12
    Dose 1 — Moderna
  2. 2021-05-30
    Registered in v-safe
  3. 2021-05-30
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  4. 2021-06-02
    Survey response — day 21, dose 1
    MedDRA: Chest discomfort, Disturbance in attention — Feeling: Poor
    Free text: woke up during the mid of the night because of pressured chest. Very low diastolic ranging 50-55, not able to concentrate which has been on/off for the last 2 weeks.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-09
    Survey response — day 28, dose 1
    MedDRA: Anxiety, Cardiac discomfort, Headache, Hypotension — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: one week after 1st shot started experiencing low blood pressure particularly diastolic readings ; mild temple headache ; pressure heart ; unsettled feeling (almost like anxiety) ; The stated condition has not been improved over the last 3 weeks.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-09
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-06-16
    Survey response — day 35, dose 1
    MedDRA: Chest discomfort, Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: templed headache ; discomfort chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-16
    Report sent to call center — day 35, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-06-21
  10. 2021-06-21
    Call successful
    Completed over the phone
  11. 2021-06-25
    Survey response — day 42, dose 1
    MedDRA: Anxiety, Heart rate irregular — Feeling: Fair
    Free text: Feel anxious more often than the week before. Heart beats ranging 56-208 bpm from walk on flat ground.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-08-13
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-11-11
    Survey response — 6 months, dose 1
    MedDRA: Brain fog, Disturbance in attention, Memory impairment, Sleep disorder — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Brain fog, sleep disorder, concentration problem, forgetfulness.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-11-11
    Report sent to call center — 6 months, dose 1
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  15. 2021-11-12
    Call successful
    Reported to VAERS during previous contact from GDIT
  16. 2022-05-14
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-12Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 8 — day 21, dose 1

2021-06-02

Symptoms: woke up during the mid of the night because of pressured chest. Very low diastolic ranging 50-55, not able to concentrate which has been on/off for the last 2 weeks.

Release 9 — day 28, dose 1

2021-06-09

Symptoms: one week after 1st shot started experiencing low blood pressure particularly diastolic readings ; mild temple headache ; pressure heart ; unsettled feeling (almost like anxiety) ; The stated condition has not been improved over the last 3 weeks. cut off by CDC

Release 9 — day 35, dose 1

2021-06-16

Symptoms: templed headache ; discomfort chest

Release 9 — day 42, dose 1

2021-06-25

Symptoms: Feel anxious more often than the week before. Heart beats ranging 56-208 bpm from walk on flat ground.

Release 10 — 6 months, dose 1

2021-11-11

Symptoms: Brain fog, sleep disorder, concentration problem, forgetfulness.

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
SDAnxiety ✓ ✓ ✓
SDBrain fog · · ✓
SDCardiac discomfort ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDDisturbance in attention ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeart rate irregular ✓ ✓ ✓
SDHypotension ✓ ✓ ✓
SDMemory impairment · · ✓
SDSleep disorder · · ✓

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

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