OpenVSafe by OpenVAERS
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XQY-23143-96321

4 vaccinations 1 coded response 37 check-ins 0 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
980 / WA
Registered
2021-03-10
Relationship
Self
Race
N/A
Ethnicity
N/A
Registered dependents
28R-17973-93574 Child or adolescent in my care · · 2021-12-06
Q3M-26054-06747 Child or adolescent in my care · · 2021-12-06

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Moderna
  3. 2021-03-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-07
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-14
    Dose 2 — Moderna
  14. 2021-04-14
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-29
    Dose 3 — Moderna
  30. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  31. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  32. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-12
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-10-14
    Dose 4 — Moderna
  42. 2023-01-13
    Survey response — 3 months, dose 4
    MedDRA: Autoimmune disorder — 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, Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  43. 2023-01-13
    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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  44. 2023-01-16

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-14Moderna
32021-10-29Moderna No
42022-10-14Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2023-01-13 Unsuccessful

Free text

None.

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
SDAutoimmune disorder · · ✓

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

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