OpenVSafe by OpenVAERS
Search V-safe

YBL-42288-56387

3 vaccinations 7 coded responses 25 check-ins 7 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
211 / MD
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-14
    Dose 1 — Moderna
  2. 2021-04-15
    Registered in v-safe
  3. 2021-04-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthritis, Pre-existing disease — Feeling: Good · Site: Pain · Headache
    Free text: I am beginning arthritis therapy so that may impact my reporting
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good · Site: Itching
    Free text: Very very slight prickly itch on left wrist. Shot was right shouldet
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Experienced lower back pain today which I have not had for approximately 5 - 6 months. Did not do any thing strenuous to cause problem.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Good
    Free text: My lower back pain has returned after a 4 - 6 month pause??
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-21
    Survey response — day 7, dose 1
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Pretty good health today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-12
    Dose 2 — Moderna
  13. 2021-05-19
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  14. 2021-05-26
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-06-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-16
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-06-23
    Survey response — day 42, dose 2
    MedDRA: Lyme disease, Polymyalgia rheumatica — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Diagnosed with either Poly Mialga Rheumatica or Lyme disease
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-23
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-07-01
  21. 2021-07-01
  22. 2021-08-11
    Survey response — 3 months, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Nothing to do with COVID. Best medical move I could make. My medical issues are from arthritis,
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  23. 2021-10-25
    Dose 3 — Moderna
  24. 2021-11-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-10-25
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-14Moderna
22021-05-12Moderna
32021-10-25Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-06-23 Successful
2021-07-01
Other

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-15

Systemic reaction (other): I am beginning arthritis therapy so that may impact my reporting

2021-04-16

Systemic reaction (other): Very very slight prickly itch on left wrist. Shot was right shouldet

2021-04-18

Systemic reaction (other): Experienced lower back pain today which I have not had for approximately 5 - 6 months. Did not do any thing strenuous to cause problem.

2021-04-19

Systemic reaction (other): My lower back pain has returned after a 4 - 6 month pause??

Release 7 — day 7, dose 1

2021-04-21

Systemic reaction (other): Pretty good health today

Release 9 — day 42, dose 2

2021-06-23

Symptoms: Diagnosed with either Poly Mialga Rheumatica or Lyme disease

Release 9 — 3 months, dose 2

2021-08-11

Symptoms: Nothing to do with COVID. Best medical move I could make. My medical issues are from arthritis,

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
SDLyme disease ✓ ✓ ✓
SDPolymyalgia rheumatica ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SROArthritis ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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