OpenVSafe by OpenVAERS
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YWJ-11279-73116

2 vaccinations 4 coded responses 17 check-ins 4 free-text entries 2 call cases
Sex
—
Age at first dose
61-65
ZIP prefix
731 / OK
Registered
2021-01-21
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-21
    Registered in v-safe
  2. 2021-01-21
    Dose 1 — Moderna
  3. 2021-01-21
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches
    Free text: But I'm old; this happens every so often.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-04
    Survey response — day 14, dose 1
    MedDRA: Respiratory tract congestion, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I think I've caught a cold. I have congestion. · Healthcare visit (other): I have a virtual appointment scheduled on Friday, the day after tomorrow.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-04
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-18
    Dose 2 — Moderna
  13. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache, Joint pains
    Adult check-in
  15. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  16. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  17. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-29
    Call successful
    Does not wish to fill out VAERS report
  21. 2021-08-19
    Survey response — 6 months, dose 2
    MedDRA: Cough, Fatigue, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test positive, Sinus disorder — Feeling: Good
    Free text: I was diagnosed positive for covid19 when I was tested on Aug 12, 2021. I felt like I had a mild cold. I had a mild sore throat, mild sinusy, mild cough. I felt tired.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2022-02-18
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Cough, Dyspnoea, Fatigue, Malaise, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, 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: I had Covid again. I was sick starting Dec 27, 2021. I tested positive on Jan 5, 2022. I had a cough, shortness of breath, and very tired until Feb 5.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-02-18
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  24. 2022-03-24
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-18Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-04 Successful
2021-06-29
Does not wish to fill out VAERS report
2022-02-18 Successful
2022-03-24
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): But I'm old; this happens every so often.

Release 3 — day 14, dose 1

2021-02-04

Symptoms: I think I've caught a cold. I have congestion.
Healthcare visit (other): I have a virtual appointment scheduled on Friday, the day after tomorrow.

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: I was diagnosed positive for covid19 when I was tested on Aug 12, 2021. I felt like I had a mild cold. I had a mild sore throat, mild sinusy, mild cough. I felt tired.

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: I had Covid again. I was sick starting Dec 27, 2021. I tested positive on Jan 5, 2022. I had a cough, shortness of breath, and very tired until Feb 5.

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
HCVOUnevaluable event ✓ ✓ ✓
SDCough ✓ · ✓
SDCOVID-19 · · ✓
SDDyspnoea · · ✓
SDFatigue ✓ · ✓
SDMalaise · · ✓
SDNasopharyngitis ✓ · ✓
SDOropharyngeal pain ✓ · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSARS-CoV-2 test positive ✓ · ✓
SDSinus disorder ✓ · ✓
SROUnevaluable event ✓ ✓ ✓

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