OpenVSafe by OpenVAERS
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YCM-55727-43981

4 vaccinations 5 coded responses 39 check-ins 5 free-text entries 4 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
531 / WI
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Moderna
  3. 2021-03-10
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-07
    Dose 2 — Moderna
  14. 2021-04-07
    Survey response — day 0, dose 2
    MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Arm pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-12
    Survey response — day 35, dose 2
    MedDRA: Bronchitis, Sinusitis — Feeling: Poor · 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: Sinus infectionBronchitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-12
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-05-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-10-22
    Dose 3 — Moderna
  31. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-19
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-21
    Survey response — 3 months, dose 3
    MedDRA: Chills, Fatigue, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: High fever, headache, chills, sore throat and utter exhaustion that turned to intermittent fever, congestion along with utter exhaustion.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-01-21
    Report sent to call center — 3 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  38. 2022-01-25
  39. 2022-01-31
  40. 2022-04-01
    Dose 4 — Moderna
    Co-administered: Pneumonia
  41. 2022-04-15
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-04-22
    Survey response — day 21, dose 4
    MedDRA: Eye haemorrhage, Office visit, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I had a hemorrhage in the back of my left eye on Monday. I have a veil obstructing my sight in my left eye. · Healthcare visit (other): Visit on Monday to ophthalmologist and yesterday to a retina specialist
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-04-22
    Report sent to call center — day 21, dose 4
    Get care from a doctor or other healthcare professional
    1 call case(s)
  44. 2022-04-25
  45. 2022-04-27
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  46. 2022-04-27
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  47. 2022-04-27
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  48. 2022-04-29
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  49. 2022-05-06
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  50. 2022-05-13
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-07-01
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-09-30
    Survey response — 6 months, dose 4
    MedDRA: Office visit, Pre-existing disease, Systemic lupus erythematosus — 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: Symptoms: Lupus attacking eyes · Healthcare visit (other): 3 visits to urgent care. 3 visits to ophthalmologist, 1 visit to Reumatologist
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-09-30
    Report sent to call center — 6 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  54. 2022-10-03
  55. 2023-04-01
    Health check-in — 12 months, dose 4
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna
32021-10-22Moderna No
42022-04-01Moderna Pneumonia

Call center

ReportedOutcomeVAERS-related outcome
2021-05-12 Successful
2022-04-27
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-21 Successful
2022-04-27
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-22 Successful
2022-04-27
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-30 Unsuccessful

Free text

Release 7 — day 0, dose 2

2021-04-07

Systemic reaction (other): Arm pain

Release 8 — day 35, dose 2

2021-05-12

Symptoms: Sinus infectionBronchitis

Release 10 — 3 months, dose 3

2022-01-21

Symptoms: High fever, headache, chills, sore throat and utter exhaustion that turned to intermittent fever, congestion along with utter exhaustion.

Release 11 — day 21, dose 4

2022-04-22

Symptoms: I had a hemorrhage in the back of my left eye on Monday. I have a veil obstructing my sight in my left eye.
Healthcare visit (other): Visit on Monday to ophthalmologist and yesterday to a retina specialist

Release 12 — 6 months, dose 4

2022-09-30

Symptoms: Lupus attacking eyes
Healthcare visit (other): 3 visits to urgent care. 3 visits to ophthalmologist, 1 visit to Reumatologist

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 · · ✓
SDBronchitis ✓ ✓ ✓
SDChills · · ✓
SDEye haemorrhage · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDOropharyngeal pain · · ✓
SDPre-existing disease · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDSinusitis ✓ ✓ ✓
SDSystemic lupus erythematosus · · ✓
SDVision blurred · · ✓
SROPain in extremity ✓ ✓ ✓

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

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