OpenVSafe by OpenVAERS
Search V-safe

XWV-21304-57695

4 vaccinations 12 coded responses 55 check-ins 11 free-text entries 6 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
115 / NY
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
2465691 (opens in a new window) high 10 / 11 5 3 of 7 VAERS symptoms same dose (4) NY matches 2022-09-19 / 2022-09-21 / 2022-09-30
received the same day as the last call
 case 1028236

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. 2021-02-04
    Registered in v-safe
  2. 2021-02-04
    Dose 1 — Moderna
  3. 2021-02-04
    Health check-in — 0 day, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  4. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-11
    Health check-in — 7 day, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-18
    Health check-in — 14 day, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-25
    Survey response — 21 day, dose 1
    MedDRA: Asthenia, Discomfort, Fatigue — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  13. 2021-03-04
    Dose 2 — Moderna
  14. 2021-03-04
    Health check-in — 0 day, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  19. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  20. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-11
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-18
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-25
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-03
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-08
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-15
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-03
    Health check-in — 3 month, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-02
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-01
    Dose 3 — Moderna
  30. 2021-11-01
    Health check-in — 0 day, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  31. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills
    Adult check-in
  32. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness
    Adult check-in
  33. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness · None
    Adult check-in
  34. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Itching · Diarrhea, Abdominal pain
    Adult check-in
  35. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Abdominal pain
    Adult check-in
  36. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Diarrhea, Abdominal pain
    Adult check-in
  37. 2021-11-08
    Health check-in — 7 day, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-15
    Health check-in — 14 day, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-22
    Health check-in — 21 day, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-29
    Survey response — 28 day, dose 3
    MedDRA: Chills, Fatigue, Gastrointestinal disorder — Feeling: Poor · Be unable to do your normal daily activities
    MedDRA releases: 2024-11 · check-in answers available
  41. 2021-12-06
    Survey response — 35 day, dose 3
    MedDRA: Abdominal discomfort, Chest pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11 · check-in answers available
  42. 2021-12-06
    Report sent to call center — 35 day, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  43. 2021-12-09
  44. 2021-12-13
    Health check-in — 42 day, dose 3
    Feeling: Fair
    Adult check-in
  45. 2022-01-31
    Survey response — 3 month, dose 3
    MedDRA: COVID-19, Dizziness, Dyspnoea, Red blood cell count decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    MedDRA releases: 2024-11 · check-in answers available
  46. 2022-01-31
    Report sent to call center — 3 month, dose 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  47. 2022-02-01
  48. 2022-02-01
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  49. 2022-02-01
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  50. 2022-05-04
    Survey response — 6 month, dose 3
    MedDRA: Angioplasty, Blood loss anaemia, COVID-19, Dyspnoea, Stent placement — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    MedDRA releases: 2024-11 · check-in answers available
  51. 2022-05-04
    Report sent to call center — 6 month, dose 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  52. 2022-05-05
  53. 2022-09-19
    Dose 4 — Moderna
  54. 2022-09-19
    Health check-in — 0 day, dose 4
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  55. 2022-09-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  56. 2022-09-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  57. 2022-09-22
    Survey response — days 1–6 daily, dose 4
    MedDRA: Asthenia, Dizziness — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    MedDRA releases: 2024-11 · check-in answers available
  58. 2022-09-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness, Malaise, Office visit — Feeling: Fair · Joint pains, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11 · check-in answers available
  59. 2022-09-23
    Report sent to call center — days 1–6 daily, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  60. 2022-09-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Joint pains, Fatigue or tiredness
    Adult check-in
  61. 2022-09-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  62. 2022-09-26
    Health check-in — 7 day, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  63. 2022-09-26
  64. 2022-09-26
  65. 2022-09-30
    Call successful
    Completed over the phone
  66. 2022-10-03
    Health check-in — 14 day, dose 4
    Feeling: Good
    Adult check-in
  67. 2022-10-10
    Survey response — 21 day, dose 4
    MedDRA: Fatigue — Feeling: Fair
    MedDRA releases: 2024-11 · check-in answers available
  68. 2022-10-17
    Health check-in — 28 day, dose 4
    Feeling: Good
    Adult check-in
  69. 2022-10-24
    Health check-in — 35 day, dose 4
    Feeling: Good
    Adult check-in
  70. 2022-10-31
    Survey response — 42 day, dose 4
    MedDRA: Abdominal discomfort, Fatigue, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11 · check-in answers available
  71. 2022-10-31
    Report sent to call center — 42 day, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  72. 2022-11-01
  73. 2022-11-01
  74. 2022-12-19
    Health check-in — 3 month, dose 4
    Feeling: Good
    Adult check-in
  75. 2023-03-20
    Survey response — 6 month, dose 4
    MedDRA: Blood iron decreased, Insomnia, Skin reaction — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2024-11 · check-in answers available
  76. 2023-03-20
    Report sent to call center — 6 month, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  77. 2023-03-21
  78. 2023-03-21
  79. 2023-03-21

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-04Moderna
32021-11-01Moderna No
42022-09-19Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-12-06 Successful
2022-02-01
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-31 Successful
2022-02-01
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-04 Unsuccessful
2022-09-23 Successful
2022-09-30
 Completed over the phone
2022-10-31 Unsuccessful Reported to VAERS during previous contact from GDIT
2023-03-20 Unsuccessful Reported to VAERS during previous contact from GDIT

Free text

Release 3

Systemic reaction (other): Calf pain

Release 4

Symptoms: Had one day where I was feeling an overall heaviness of my body. Felt extremely weak and greatly fatigued. Better day followed with none of those symptoms.

Release 5

Systemic reaction (other): Repeat of last 2 days. Just not feeling my best. Like something just isnt right

Release 10

Symptoms: Bad stomach, chills, fatigue. No fevee
Symptoms: Abdominal discomfort and mild chest pain.
Healthcare visit (other): Appointment with gastroenterologist tomorrow. Trying to set up appointment with cardiologist.

Release 11

Symptoms: Low red blood cell counts, delay of angiogram, had light headedness and shortness of breath. Covid positive on 1/3/22.
Symptoms: Underwent angioplasty requiring stents. Endoscopy and colonoscopy looking for source of blood loss. Covid early January 2022. Lingering shortness of breath may be unrelated.

Release 12

Systemic reaction (other): Light headed, weak
Systemic reaction (other): Dizziness General feeling of being out of sorts
Healthcare visit (other): Went to see my hematologist to make sure my blood values were ok.
Symptoms: Extreme fatigue. Not sure if related to vaccination or other health issues.
Symptoms: Upset stomach, fatigue, urinary tract infection.

Free-text releases are not linked to a specific 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
HCVOOffice visit · · ✓
HCVOUnevaluable event · · ✓
SDAbdominal discomfort · · ✓
SDAngioplasty · · ✓
SDAsthenia ✓ ✓ ✓
SDBlood iron decreased · · ✓
SDBlood loss anaemia · · ✓
SDChest pain · · ✓
SDChills · · ✓
SDCOVID-19 · · ✓
SDDiscomfort ✓ ✓ ✓
SDDizziness · · ✓
SDDyspnoea · · ✓
SDFatigue ✓ ✓ ✓
SDGastrointestinal disorder · · ✓
SDInsomnia · · ✓
SDRed blood cell count decreased · · ✓
SDSkin reaction · · ✓
SDStent placement · · ✓
SDUrinary tract infection · · ✓
SROAsthenia · · ✓
SRODizziness · · ✓
SROFeeling abnormal ✓ ✓ ✓
SROMalaise · · ✓
SROPain in extremity ✓ ✓ ✓

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

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