OpenVSafe by OpenVAERS
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YNW-93942-83073

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 2 call cases
Sex
Male
Age at first dose
56-60
ZIP prefix
851 / AZ
Registered
2021-01-15
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-12
    Dose 2 — Moderna
  13. 2021-02-12
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-06
    Survey response — day 21, dose 2
    MedDRA: Bell's palsy, Choking, Dysphagia, Emergency care, Eyelid function disorder, Facial paralysis, Vision blurred — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: I have been diagnosed as having Bells Palsy, my right side of my face has dropped, my right eyelid wont close., slightly blurred in my left eye. When I eat I have some problem swallowing, with slight choking. · Healthcare visit (other): After emergency room visit, also now under eye doctor care for my right eyeeye
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-06
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-03-12
    Survey response — day 28, dose 2
    MedDRA: Bell's palsy, Chronic cheek biting, Facial paralysis, Hypoacusis, Hypoaesthesia oral, Vision blurred — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: With my Bells palsy. My eye still slightly blurry, tongue numb, my right side of face droopy, biting my inner check , my hearing is not good.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-12
    Report sent to call center — day 28, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-05-14
    Survey response — 3 months, dose 2
    MedDRA: Bell's palsy — Feeling: Good · Be unable to work
    Free text: Bells palsy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-12-15
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-03-06 Successful Participant prefers to complete VAERS report online
2021-03-12 Successful
2021-12-15
Participant prefers to complete VAERS report online

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): None

Release 5 — day 21, dose 2

2021-03-06

Symptoms: I have been diagnosed as having Bells Palsy, my right side of my face has dropped, my right eyelid wont close., slightly blurred in my left eye. When I eat I have some problem swallowing, with slight choking.
Healthcare visit (other): After emergency room visit, also now under eye doctor care for my right eyeeye

Release 5 — day 28, dose 2

2021-03-12

Symptoms: With my Bells palsy. My eye still slightly blurry, tongue numb, my right side of face droopy, biting my inner check , my hearing is not good.

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Bells palsy

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
HCVOEmergency care ✓ ✓ ✓
SDBell's palsy ✓ ✓ ✓
SDChoking ✓ ✓ ✓
SDChronic cheek biting ✓ ✓ ✓
SDDysphagia ✓ ✓ ✓
SDEyelid function disorder ✓ ✓ ✓
SDFacial paralysis ✓ ✓ ✓
SDHypoacusis ✓ ✓ ✓
SDHypoaesthesia oral ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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