OpenVSafe by OpenVAERS
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XYM-19201-34316

3 vaccinations 5 coded responses 34 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
860 / AZ
Registered
2021-03-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-22
    Dose 1 — Moderna
  2. 2021-03-30
    Registered in v-safe
  3. 2021-03-30
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Itching · Headache, Joint pains
    Adult check-in
  4. 2021-04-05
    Survey response — day 14, dose 1
    MedDRA: Injection site pruritus — Feeling: Good
    Free text: Itching at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-12
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-04-19
    Dose 2 — Moderna
  7. 2021-04-19
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness
    Adult check-in
  11. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  13. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-01-29
    Dose 3 — Moderna
  23. 2022-01-29
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  24. 2022-01-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  25. 2022-01-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling
    Free text: Swollen lymph node
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-02-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Swollen and sore lymph node
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-02-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  28. 2022-02-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2022-02-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2022-02-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2022-02-12
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  32. 2022-02-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-02-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-03-05
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-03-12
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-04-30
    Survey response — 3 months, dose 3
    MedDRA: Nasal congestion, Nausea, Sneezing — Feeling: Fair
    Free text: Stuffy nose, sneezing, nausea
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-07-30
    Survey response — 6 months, dose 3
    MedDRA: Office visit, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Pregnancy · Healthcare visit (other): In person office bisit
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-07-30
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  39. 2022-08-01
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  40. 2023-01-31
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna
22021-04-19Moderna
32022-01-29Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-07-30 Successful
2022-08-01
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Itching at injection site

Release 11 — days 1–6 daily, dose 3

2022-01-31

Systemic reaction (other): Swollen lymph node

2022-02-01

Systemic reaction (other): Swollen and sore lymph node

Release 11 — 3 months, dose 3

2022-04-30

Symptoms: Stuffy nose, sneezing, nausea

Release 12 — 6 months, dose 3

2022-07-30

Symptoms: Pregnancy
Healthcare visit (other): In person office bisit

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
HCVOOffice visit · · ✓
SDInjection site pruritus ✓ ✓ ✓
SDNasal congestion · · ✓
SDNausea · · ✓
SDPregnancy · · ✓
SDSneezing · · ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓

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