OpenVSafe by OpenVAERS
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Y76-15586-98597

3 vaccinations 11 coded responses 16 check-ins 11 free-text entries 9 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
080 / NJ
Registered
2021-02-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Dose 1 — Moderna
  2. 2021-02-22
    Registered in v-safe
  3. 2021-02-22
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-13
    Dose 2 — Moderna
  7. 2021-03-13
    Survey response — day 0, dose 2
    MedDRA: Alopecia, Hair colour changes — Feeling: Poor · Chills · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Severe hair loss and lost hair color
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-13
    Report sent to call center — day 0, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Alopecia — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Severe loss of hair and hair color
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Alopecia, Hair disorder — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Extreme loss of hair and hair color
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Alopecia, Hair colour changes — Feeling: Fair · Site: Pain · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: EXTREME LOSS OF HAIR AND HAIR COLOR!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-16
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Alopecia, Hair colour changes — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: EXTREME LOSS OF HAIR AND HAIR COLOR
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-17
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Alopecia, Hair colour changes — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: EXTREME LOSS OF HAIR AND HAIR COLOR
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-18
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Alopecia, Hair colour changes — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: EXTREME HAIR LOSS AND HAIR COLOR
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-19
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-03-20
    Survey response — day 7, dose 2
    MedDRA: Alopecia — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: EXTREME HAIR AND COLOR LOSS
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-20
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-03-29
    Survey response — day 14, dose 2
    MedDRA: Alopecia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Extreme loss of hair and hair color
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-29
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-04-03
    Survey response — day 21, dose 2
    MedDRA: Alopecia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Extreme hair and hair color loss.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-03
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-06-09
  26. 2021-06-09
  27. 2021-06-09
  28. 2021-06-09
  29. 2021-06-09
  30. 2021-06-09
  31. 2021-06-09
  32. 2021-06-09
  33. 2021-06-12
    Survey response — 3 months, dose 2
    MedDRA: Alopecia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Continued hair loss over entire body since the 2/13/2021 Moderna vaccine injection. Loss of eyebrows, eye lashes, head hair, entire body hair. · Healthcare visit (other): office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  34. 2021-06-12
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  35. 2021-06-22
  36. 2021-09-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  37. 2021-10-27
    Dose 3 — Moderna
  38. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-13Moderna
32021-10-27Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-03-13 Unsuccessful
2021-03-16 Unsuccessful
2021-03-17 Unsuccessful
2021-03-18 Unsuccessful
2021-03-19 Unsuccessful
2021-03-20 Unsuccessful
2021-03-29 Unsuccessful
2021-04-03 Unsuccessful
2021-06-12 Unsuccessful

Free text

Release 5 — day 0, dose 2

2021-03-13

Systemic reaction (other): Severe hair loss and lost hair color

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Severe loss of hair and hair color

2021-03-15

Systemic reaction (other): Extreme loss of hair and hair color

2021-03-16

Systemic reaction (other): EXTREME LOSS OF HAIR AND HAIR COLOR!

2021-03-17

Systemic reaction (other): EXTREME LOSS OF HAIR AND HAIR COLOR

2021-03-18

Systemic reaction (other): EXTREME LOSS OF HAIR AND HAIR COLOR

2021-03-19

Systemic reaction (other): EXTREME HAIR LOSS AND HAIR COLOR

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): EXTREME HAIR AND COLOR LOSS

Release 6 — day 14, dose 2

2021-03-29

Symptoms: Extreme loss of hair and hair color

Release 6 — day 21, dose 2

2021-04-03

Symptoms: Extreme hair and hair color loss.

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Continued hair loss over entire body since the 2/13/2021 Moderna vaccine injection. Loss of eyebrows, eye lashes, head hair, entire body hair.
Healthcare visit (other): office visit

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 ✓ ✓ ✓
SDAlopecia ✓ ✓ ✓
SROAlopecia ✓ ✓ ✓
SROHair colour changes ✓ ✓ ✓
SROHair disorder ✓ ✓ ✓

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

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