OpenVSafe by OpenVAERS
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X9K-20051-66105

4 vaccinations 4 coded responses 42 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
148 / NY
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
3JB-24452-26249 Child or adolescent in my care · Male · 2022-06-30

Timeline

  1. 2021-01-14
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-14
    Survey response — day 0, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Swollen lymph node on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · Fatigue or tiredness
    Adult check-in
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-11
    Dose 2 — Moderna
  13. 2021-02-11
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  14. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  16. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-12
    Survey response — 6 months, dose 2
    MedDRA: Menstruation irregular — Feeling: Good
    Free text: Change in menstrual cycle.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-11-07
    Dose 3 — Moderna
  29. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  30. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2021-11-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache
    Adult check-in
  34. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-14
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-21
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-28
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-05
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-12
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  40. 2021-12-21
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-06
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-05-08
    Survey response — 6 months, dose 3
    MedDRA: COVID-19, Nasal congestion, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Contracted COVID; had sore throat, body aches, severe congestion, stuffy nose, and low fever
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-09-13
    Dose 4 — Moderna
    Co-administered: Flu
  44. 2022-10-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-10-25
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-12-15
    Survey response — 3 months, dose 4
    MedDRA: Respiratory syncytial virus infection, Sinusitis, Upper respiratory tract infection — 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 · Telehealth, virtual health, or email health consultation
    Free text: RSV, two other URIs, sinus infection
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-12-15
    Report sent to call center — 3 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
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  48. 2022-12-16
  49. 2023-03-16
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna
32021-11-07Moderna No
42022-09-13Moderna Flu

Call center

ReportedOutcomeVAERS-related outcome
2022-12-15 Unsuccessful

Free text

Release 2 — day 0, dose 1

2021-01-14

Systemic reaction (other): Swollen lymph node on side of injection

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Change in menstrual cycle.

Release 11 — 6 months, dose 3

2022-05-08

Symptoms: Contracted COVID; had sore throat, body aches, severe congestion, stuffy nose, and low fever

Release 12 — 3 months, dose 4

2022-12-15

Symptoms: RSV, two other URIs, sinus infection

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
SDCOVID-19 · · ✓
SDMenstruation irregular ✓ · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SDRespiratory syncytial virus infection · · ✓
SDRespiratory tract congestion · · ✓
SDSinusitis · · ✓
SDUpper respiratory tract infection · · ✓
SROLymphadenopathy ✓ ✓ ✓

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

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