OpenVSafe by OpenVAERS
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YNJ-26684-79875

3 vaccinations 11 coded responses 38 check-ins 11 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
352 / AL
Registered
2021-01-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  5. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Vision blurred — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Monday and tuesday, had blurry vision, but okay today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  7. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-08
    Dose 2 — Moderna
  13. 2021-02-08
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  14. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Back pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  16. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Thrombosis, Varicose vein — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Blood clot in lower left leg, varicose vein
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease, Thrombosis — Feeling: Fair · Site: Pain · Joint pains
    Free text: Blood clot in varicose vein, may be coincidence but began 2nd day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Peripheral vein thrombosis — Feeling: Fair · Joint pains
    Free text: Pain in knee, peripheral vein blood clot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  20. 2021-02-15
    Survey response — day 7, dose 2
    MedDRA: Gait disturbance, Loss of personal independence in daily activities, Vision blurred — Feeling: Fair · Joint pains
    Free text: Blurry vision left eyes, eas difficult to drive, trouble walking on knee.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-22
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue, muscle aches,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-08
    Survey response — day 28, dose 2
    MedDRA: Vision blurred — Feeling: Fair
    Free text: Continue to have blurry vision in left eye
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-15
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-03-23
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Feeling hot, Joint swelling, Rash, Rash erythematous, Rash pruritic — Feeling: Fair
    Free text: Rash on top of wrist and hands, both, but worse on left wrist where i initially had swelljng and pain after vaccine. Rash is pink to red, itchy and hot, mostly over wrist joint.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-11
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2022-02-08
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in
  28. 2022-05-23
    Dose 3 — Moderna
  29. 2022-05-23
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  30. 2022-05-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  31. 2022-05-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  32. 2022-05-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  33. 2022-05-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  34. 2022-05-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2022-05-30
    Survey response — day 7, dose 3
    MedDRA: Unevaluable event — Feeling: Fair · Joint pains
    Free text: Shoulder above injection
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-06-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-06-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-06-20
    Survey response — day 28, dose 3
    MedDRA: COVID-19, Malaise — 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
    Free text: Became sick with Covid 19.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-06-20
    Report sent to call center — day 28, 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 · 1 call case(s)
  40. 2022-06-21
  41. 2022-06-28
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  42. 2022-07-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-08-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2023-05-25
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-08Moderna
32022-05-23Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-06-20 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Monday and tuesday, had blurry vision, but okay today.

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Back pain

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Blood clot in lower left leg, varicose vein

2021-02-12

Systemic reaction (other): Blood clot in varicose vein, may be coincidence but began 2nd day.

2021-02-13

Systemic reaction (other): Pain in knee, peripheral vein blood clot

Release 4 — day 7, dose 2

2021-02-15

Systemic reaction (other): Blurry vision left eyes, eas difficult to drive, trouble walking on knee.

Release 4 — day 14, dose 2

2021-02-22

Symptoms: Fatigue, muscle aches,

Release 5 — day 28, dose 2

2021-03-08

Symptoms: Continue to have blurry vision in left eye

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Rash on top of wrist and hands, both, but worse on left wrist where i initially had swelljng and pain after vaccine. Rash is pink to red, itchy and hot, mostly over wrist joint.

Release 11 — day 7, dose 3

2022-05-30

Systemic reaction (other): Shoulder above injection

Release 12 — day 28, dose 3

2022-06-20

Symptoms: Became sick with Covid 19.

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
SDArthralgia ✓ ✓ ✓
SDCOVID-19 · · ✓
SDFatigue ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDJoint swelling ✓ ✓ ✓
SDMalaise · · ✓
SDMyalgia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROGait disturbance ✓ ✓ ✓
SROLoss of personal independence in daily activities ✓ ✓ ✓
SROPeripheral vein thrombosis ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROThrombosis ✓ ✓ ✓
SROUnevaluable event · · ✓
SROVaricose vein ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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