OpenVSafe by OpenVAERS
Search V-safe

5B9-27720-70348

5 vaccinations 31 coded responses 47 check-ins 31 free-text entries 7 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
920 / CA
Registered
2021-01-26
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Registered in v-safe
  2. 2021-01-26
    Dose 1 — Moderna
  3. 2021-01-26
    Survey response — day 0, dose 1
    MedDRA: Tinnitus — Feeling: Good · Site: Pain, Itching · Nausea
    Free text: Ringing in the ears (twice hours apart).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work
    Adult check-in
  5. 2021-01-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Nausea
    Free text: Runny nose. Mild sore throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Deafness unilateral, Skin warm — Feeling: Good
    Free text: heat left arm and ear. some left ear deafness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  8. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · Diarrhea
    Adult check-in
  9. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-02-09
    Survey response — day 14, dose 1
    MedDRA: Chest pain, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Severe chest pains about 9pm at bed time on 02/04/2021.Running nose.Sore throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-16
    Survey response — day 21, dose 1
    MedDRA: Diarrhoea — Feeling: Fair
    Free text: One case of uncontrolled diarrhea about 12:05A.M.. Fine cottage cheese type diarrhea brown in color.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-23
    Survey response — day 28, dose 1
    MedDRA: Wound — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: open sore in groin area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-23
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-02-26
    Dose 2 — Moderna
  15. 2021-02-26
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  16. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Influenza like illness, Nausea — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Quizzy. Flu like symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Free text: Sore throat, coughing, and runny nose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  22. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-03-12
    Survey response — day 14, dose 2
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Diarrhea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-19
    Survey response — day 21, dose 2
    MedDRA: Irritability, Pruritus — Feeling: Good
    Free text: Itching upper legs, thighs. (Inner and top of thighs.) Also, irritated and itching right nipple.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-26
    Survey response — day 28, dose 2
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Diarrhea. Seem like once a week. Very bad and uncontrollable.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-09
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Diarrhoea, Musculoskeletal pain, Pain, Pain in extremity — Feeling: Poor · 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: Diarrhea. Hip, upper legs and pain around the waist including the buttocks area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-04-09
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-05-28
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Headache, Nausea, Rhinorrhoea — Feeling: Fair · Be unable to work, 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: Excruciating pain in upper legs and hips. Nauseated, running nose, headache, joint pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  30. 2021-05-28
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2021-06-16
  32. 2021-06-17
    Call successful
    Participant prefers to complete VAERS report online
  33. 2021-06-17
    Call successful
    Participant prefers to complete VAERS report online
  34. 2021-06-17
    Call successful
    Participant prefers to complete VAERS report online
  35. 2021-08-29
    Survey response — 6 months, dose 2
    MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activities
    Free text: Diarrhea once a week.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  36. 2021-10-27
    Dose 3 — Moderna
  37. 2021-10-27
    Survey response — day 0, dose 3
    MedDRA: Feeling hot — Feeling: Fair · Site: Swelling · Fever · Fatigue or tiredness · Be unable to work or attend school
    Free text: feeling of warm feverish face.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Vomiting · Be unable to do your normal daily activities
    Adult check-in
  39. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  40. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Tenderness, Unevaluable event, Vasodilatation — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Left leg below knee. Vain sticking out. Very tender to the touch. · Healthcare visit (other): Will make appointment.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2021-10-30
    Report sent to call center — days 1–6 daily, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  42. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Myalgia — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Left arm muscle shoulder pain.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  44. 2021-11-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Somnolence, Vascular pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Sleeping most of the day. Left lower leg vein pain ...
    MedDRA releases: 2024-11 · check-in free text available
  45. 2021-11-02
  46. 2021-11-04
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  47. 2021-11-08
    Call successful
    Participant prefers to complete VAERS report online
  48. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  49. 2021-11-17
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  50. 2021-12-01
    Survey response — day 35, dose 3
    MedDRA: Vaccination site pain — Feeling: Fair
    Free text: Pain both arms around vaccination.
    MedDRA releases: 2024-11 · check-in free text available
  51. 2021-12-08
    Survey response — day 42, dose 3
    MedDRA: Pain in extremity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Symptoms: Left arm pain. Both upper leg pain. · Healthcare visit (other): Ultrasound; legs veins.
    MedDRA releases: 2024-11 · check-in free text available
  52. 2021-12-08
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  53. 2021-12-13
  54. 2022-01-26
    Survey response — 3 months, dose 3
    MedDRA: Injection site pain, Injection site reaction, Musculoskeletal stiffness — Feeling: Fair
    Free text: Left arm around injection. Sore, painful and stiffness.
    MedDRA releases: 2024-11 · check-in free text available
  55. 2022-04-26
    Dose 4 — Moderna
  56. 2022-04-27
    Survey response — 6 months, dose 3
    MedDRA: Arthralgia, Headache, Neck pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Shoulder, neck and head pain right side neck area.
    MedDRA releases: 2024-11 · check-in free text available
  57. 2022-05-14
    Survey response — day 14, dose 4
    MedDRA: Injection site pain, Muscular weakness — Feeling: Fair
    Free text: Right arm pain around injection. With weakening.
    MedDRA releases: 2024-11 · check-in free text available
  58. 2022-05-17
    Survey response — day 21, dose 4
    MedDRA: Nasal congestion — Feeling: Fair
    Free text: Unable to breathe from nostrils for about four (4) hours.
    MedDRA releases: 2024-11 · check-in free text available
  59. 2022-05-26
    Survey response — day 28, dose 4
    MedDRA: Conjunctivitis, Nasal congestion — Feeling: Fair
    Free text: unable to breathe through nose early morning hours for about three hours. pink eye.
    MedDRA releases: 2024-11 · check-in free text available
  60. 2022-05-31
    Survey response — day 35, dose 4
    MedDRA: Eye infection viral — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: viral infection in left eye. left inside corner.
    MedDRA releases: 2024-11 · check-in free text available
  61. 2022-05-31
    Report sent to call center — day 35, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  62. 2022-06-01
  63. 2022-06-01
  64. 2022-06-01
  65. 2022-06-01
  66. 2022-06-01
  67. 2022-06-01
  68. 2022-06-07
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  69. 2022-07-26
    Survey response — 3 months, dose 4
    MedDRA: Injection site pain — Feeling: Poor
    Free text: Really bad pain on occassions around the injection site.
    MedDRA releases: 2024-11 · check-in free text available
  70. 2022-10-25
    Survey response — 6 months, dose 4
    MedDRA: Chest pain, Cough, Diarrhoea, Pain, Pain in extremity — 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 · Emergency room or emergency department visit
    Free text: Shooting pain when I cough that goes from my chest. Throughout both arms and into my hands. And weekly diarrhea.
    MedDRA releases: 2024-11 · check-in free text available
  71. 2022-10-25
    Report sent to call center — 6 months, 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
    Emergency room or emergency department visit · 1 call case(s)
  72. 2022-10-26
  73. 2022-10-26
  74. 2022-10-26
  75. 2023-01-24
    Dose 5 — Moderna
  76. 2023-04-27
    Health check-in — 3 months, dose 5
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-26Moderna
32021-10-27Moderna No
42022-04-26Moderna No
52023-01-24Moderna No

Call center

7 call center cases

4 successful · 3 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-26

Systemic reaction (other): Ringing in the ears (twice hours apart).

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Runny nose. Mild sore throat.

2021-01-30

Systemic reaction (other): heat left arm and ear. some left ear deafness.

Release 3 — day 14, dose 1

2021-02-09

Symptoms: Severe chest pains about 9pm at bed time on 02/04/2021.Running nose.Sore throat.

Release 4 — day 21, dose 1

2021-02-16

Symptoms: One case of uncontrolled diarrhea about 12:05A.M.. Fine cottage cheese type diarrhea brown in color.

Release 4 — day 28, dose 1

2021-02-23

Symptoms: open sore in groin area.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Quizzy. Flu like symptoms.

2021-02-28

Systemic reaction (other): Sore throat, coughing, and runny nose.

2021-03-01

Systemic reaction (other): Itching

2021-03-02

Systemic reaction (other): Itching

2021-03-03

Systemic reaction (other): Itching

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Diarrhea.

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Itching upper legs, thighs. (Inner and top of thighs.) Also, irritated and itching right nipple.

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Diarrhea. Seem like once a week. Very bad and uncontrollable.

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Diarrhea. Hip, upper legs and pain around the waist including the buttocks area.

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Excruciating pain in upper legs and hips. Nauseated, running nose, headache, joint pain.

Release 9 — 6 months, dose 2

2021-08-29

Symptoms: Diarrhea once a week.

Release 10 — day 0, dose 3

2021-10-27

Systemic reaction (other): feeling of warm feverish face.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Left leg below knee. Vain sticking out. Very tender to the touch.
Healthcare visit (other): Will make appointment.

2021-10-31

Systemic reaction (other): Left arm muscle shoulder pain.

2021-11-02

Systemic reaction (other): Sleeping most of the day. Left lower leg vein pain ...

Release 10 — day 35, dose 3

2021-12-01

Symptoms: Pain both arms around vaccination.

Release 10 — day 42, dose 3

2021-12-08

Symptoms: Left arm pain. Both upper leg pain.
Healthcare visit (other): Ultrasound; legs veins.

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Left arm around injection. Sore, painful and stiffness.

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: Shoulder, neck and head pain right side neck area.

Release 11 — day 14, dose 4

2022-05-14

Symptoms: Right arm pain around injection. With weakening.

Release 11 — day 21, dose 4

2022-05-17

Symptoms: Unable to breathe from nostrils for about four (4) hours.

Release 11 — day 28, dose 4

2022-05-26

Symptoms: unable to breathe through nose early morning hours for about three hours. pink eye.

Release 11 — day 35, dose 4

2022-05-31

Symptoms: viral infection in left eye. left inside corner.

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: Really bad pain on occassions around the injection site.

Release 12 — 6 months, dose 4

2022-10-25

Symptoms: Shooting pain when I cough that goes from my chest. Throughout both arms and into my hands. And weekly diarrhea.

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
HCVOUnevaluable event · · ✓
SDArthralgia ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDConjunctivitis · · ✓
SDCough · · ✓
SDDiarrhoea ✓ ✓ ✓
SDEye infection viral · · ✓
SDHeadache ✓ ✓ ✓
SDInjection site pain · · ✓
SDInjection site reaction · · ✓
SDIrritability ✓ ✓ ✓
SDMuscular weakness · · ✓
SDMusculoskeletal pain ✓ ✓ ✓
SDMusculoskeletal stiffness · · ✓
SDNasal congestion · · ✓
SDNausea ✓ ✓ ✓
SDNeck pain · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDVaccination site pain · · ✓
SDWound ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODeafness unilateral ✓ ✓ ✓
SROFeeling hot · · ✓
SROInfluenza like illness ✓ ✓ ✓
SROMyalgia · · ✓
SRONausea ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSkin warm ✓ ✓ ✓
SROSomnolence · · ✓
SROTenderness · · ✓
SROTinnitus ✓ ✓ ✓
SROVascular pain · · ✓
SROVasodilatation · · ✓

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

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