OpenVSafe by OpenVAERS
Search V-safe

Z49-17317-53606

3 vaccinations 5 coded responses 18 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
981 / WA
Registered
2021-05-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-30
    Dose 1 — Moderna
  2. 2021-05-01
    Registered in v-safe
  3. 2021-05-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-05-28
    Dose 2 — Moderna
  5. 2021-06-08
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-06-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-06-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-06-26
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  9. 2021-07-03
    Survey response — day 35, dose 2
    MedDRA: Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Activated immune system aggravated by record heat and wildfire smoke.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-07-09
    Survey response — day 42, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sprained tooth acting up again. Extreme heat aggravates allergies with high NO2 and wildfire smoke.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-08-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-11-22
    Call successful
    Participant prefers to complete VAERS report online
  13. 2021-11-26
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  14. 2022-05-23
    Dose 3 — Moderna
  15. 2022-05-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  16. 2022-05-28
    Survey response — 12 months, dose 2
    MedDRA: Chromaturia, Condition aggravated, Pre-existing disease, Urine abnormality — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Red, cloudy urine, post booster on 23 May 2022. I suspect autoimmune flare, as likely from high pollen as booster challenge.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-06-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  18. 2022-06-11
    Survey response — day 14, dose 3
    MedDRA: Chromaturia, Hypersomnia, Urine abnormality — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Red, clouded urine, likely autoimmune related. Sleeping 12+ hours a day.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-06-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-06-28
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  21. 2022-08-25
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  22. 2022-11-21
    Survey response — 6 months, dose 3
    MedDRA: Blood urine present, Haemoglobin decreased, Office visit, Pre-existing disease, Vitamin B12 decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I had blood in my urine following May 2022 booster. Last visit with doctor revealed low Vitamin B12 + low hemoglobin. I have an activated immune system from quinone chemo in 2008 (I carry quinone reductase variant that poorly metabolizes quinones).
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-11-21
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  24. 2023-05-25
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-30Moderna
22021-05-28Moderna
32022-05-23Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-11-21 Successful
2021-11-22
Participant prefers to complete VAERS report online

Free text

Release 9 — day 35, dose 2

2021-07-03

Symptoms: Activated immune system aggravated by record heat and wildfire smoke.

Release 9 — day 42, dose 2

2021-07-09

Symptoms: Sprained tooth acting up again. Extreme heat aggravates allergies with high NO2 and wildfire smoke.

Release 11 — 12 months, dose 2

2022-05-28

Symptoms: Red, cloudy urine, post booster on 23 May 2022. I suspect autoimmune flare, as likely from high pollen as booster challenge.

Release 12 — day 14, dose 3

2022-06-11

Symptoms: Red, clouded urine, likely autoimmune related. Sleeping 12+ hours a day.

Release 12 — 6 months, dose 3

2022-11-21

Symptoms: I had blood in my urine following May 2022 booster. Last visit with doctor revealed low Vitamin B12 + low hemoglobin. I have an activated immune system from quinone chemo in 2008 (I carry quinone reductase variant that poorly metabolizes quinones). cut off by CDC

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
SDBlood urine present · · ✓
SDChromaturia · · ✓
SDCondition aggravated · · ✓
SDHaemoglobin decreased · · ✓
SDHypersomnia · · ✓
SDOffice visit · · ✓
SDPre-existing disease ✓ ✓ ✓
SDUrine abnormality · · ✓
SDVitamin B12 decreased · · ✓

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