OpenVSafe by OpenVAERS
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X63-13080-15071

3 vaccinations 3 coded responses 31 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
618 / IL
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Dose 1 — Moderna
  2. 2021-02-12
    Registered in v-safe
  3. 2021-02-12
    Survey response — day 7, dose 1
    MedDRA: Axillary pain, Tenderness — Feeling: Good · Site: Pain, Redness, Itching
    Free text: Pain/tenderness in armpit of the arm I received the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-03
    Dose 2 — Moderna
  7. 2021-03-03
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  10. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-31
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-03
    Survey response — 6 months, dose 2
    MedDRA: Herpes zoster — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Shingles
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-09-03
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-09-09
  22. 2021-11-16
    Dose 3 — Moderna
  23. 2021-11-16
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  24. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  25. 2021-11-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain
    Free text: Tenderness in lymph node in armpit of injection arm
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  27. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-23
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-12-02
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-07
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-16
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-28
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-02-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-05-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-11-16
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna
22021-03-03Moderna
32021-11-16Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-09-03 Unsuccessful

Free text

Release 4 — day 7, dose 1

2021-02-12

Systemic reaction (other): Pain/tenderness in armpit of the arm I received the vaccine

Release 9 — 6 months, dose 2

2021-09-03

Symptoms: Shingles

Release 10 — days 1–6 daily, dose 3

2021-11-18

Systemic reaction (other): Tenderness in lymph node in armpit of injection arm

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
SDHerpes zoster ✓ · ✓
SROAxillary pain ✓ ✓ ✓
SROLymph node pain · · ✓
SROTenderness ✓ ✓ ✓

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

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