OpenVSafe by OpenVAERS
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Z6J-33497-29869

2 vaccinations 5 coded responses 12 check-ins 5 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
112 / NY
Registered
2021-07-05
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-30
    Dose 1 — Moderna
  2. 2021-07-05
    Registered in v-safe
  3. 2021-07-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal chest pain — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Severe pain at the rib cage on a site of vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-07-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal chest pain, Painful respiration, Pyrexia — Feeling: Fair · Site: Pain · Fever · Muscle or body aches · Be unable to do your normal daily activities
    Free text: I had 102-103 fever for 6 days plus severe stabbing pain in a rib cage for 5 days. Today is day 7 and my temp is 37.5 and pain is rub cage is subsided so I can inhale. It was a pain on each inhalation.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-07-07
    Survey response — day 7, dose 1
    MedDRA: Pain — Feeling: Good · Fever · Be unable to do your normal daily activities
    Free text: Today is day 8 since I was vaccinated on june30 with a first dose. Today is the first day my pain is subsided but I still have 37.5 temperature.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-07-16
    Survey response — day 14, dose 1
    MedDRA: Cough, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I developed cough. As a result of COVID vaccine. · Healthcare visit (other): Went to pulmonologist
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-07-16
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-07-21
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-07-24
  10. 2021-07-28
    Dose 2 — Moderna
  11. 2021-07-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-07-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lightheaded
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-07-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · None · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-08-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-08-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-08-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-08-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-06-30Moderna No
22021-07-28Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-07-16 Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-05

Systemic reaction (other): Severe pain at the rib cage on a site of vaccination

2021-07-06

Systemic reaction (other): I had 102-103 fever for 6 days plus severe stabbing pain in a rib cage for 5 days. Today is day 7 and my temp is 37.5 and pain is rub cage is subsided so I can inhale. It was a pain on each inhalation.

Release 9 — day 7, dose 1

2021-07-07

Systemic reaction (other): Today is day 8 since I was vaccinated on june30 with a first dose. Today is the first day my pain is subsided but I still have 37.5 temperature.

Release 9 — day 14, dose 1

2021-07-16

Symptoms: I developed cough. As a result of COVID vaccine.
Healthcare visit (other): Went to pulmonologist

Release 9 — days 1–6 daily, dose 2

2021-07-30

Systemic reaction (other): Lightheaded

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 ✓ · ✓
SDCough ✓ · ✓
SRODizziness ✓ · ✓
SROMusculoskeletal chest pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPainful respiration ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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