OpenVSafe by OpenVAERS
Search V-safe

XWV-28459-49361

4 vaccinations 6 coded responses 18 check-ins 6 free-text entries 5 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
474 / IN
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Dose 1 — Moderna
  2. 2021-01-12
    Registered in v-safe
  3. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspepsia — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-01-12
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Dyspepsia, Gastrooesophageal reflux disease, Pre-existing disease — Feeling: Fair · Nausea, Diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  6. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  7. 2021-01-14
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-01-15
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  10. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-01-18
    Health check-in — 7 day, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  12. 2021-01-25
    Survey response — 14 day, dose 1
    MedDRA: Herpes zoster — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  13. 2021-01-25
    Report sent to call center — 14 day, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-02-01
    Survey response — 21 day, dose 1
    MedDRA: Back pain, Pelvic pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  15. 2021-02-01
    Report sent to call center — 21 day, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-02-09
    Dose 2 — Moderna
  17. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-05
  20. 2021-06-01
    Dose 3 — Pfizer-BioNTech
  21. 2021-08-10
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-02-09
    Health check-in — 12 month, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-04-06
    Dose 4 — Pfizer-BioNTech
  24. 2022-04-27
    Health check-in — 21 day, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-05-04
    Health check-in — 28 day, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-05-12
    Health check-in — 35 day, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-18
    Health check-in — 42 day, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-07-06
    Health check-in — 3 month, dose 4
    Feeling: Good
    Adult check-in
  29. 2023-04-06
    Health check-in — 12 month, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-09Moderna
32021-06-01Pfizer-BioNTech No
42022-04-06Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-01-12 Unsuccessful
2021-01-14 Unsuccessful
2021-01-15 Unsuccessful
2021-01-25 Unsuccessful
2021-02-01 Unsuccessful

Free text

Release 1

Systemic reaction (other): Burning sensation in stomach, like acidic condition
Systemic reaction (other): Very sour stomach, GERD. Plus, pain in the area where I recently had a kidney stone lithotripsy.
Systemic reaction (other): “Mild ache all over feeling”

Release 2

Systemic reaction (other): Aches in lower back from side to side, strong enough to keep me awake all night.
Symptoms: In the event that I did not mention this the last time, in the days following the vaccination I had mild symptoms that I though were from the vaccine. Instead, it was symptoms of Shingles. I have had a HORRIBLE first time experience with Shingles. cut off by CDC

Release 3

Symptoms: Pain in lower back and left side pelvis

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
SDBack pain ✓ ✓ ✓
SDHerpes zoster ✓ ✓ ✓
SDPelvic pain ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SRODyspepsia ✓ ✓ ✓
SROGastrooesophageal reflux disease ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

Loading…