OpenVSafe by OpenVAERS
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Z9S-21801-29455

1 vaccination 6 coded responses 13 check-ins 6 free-text entries 5 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
765 / TX
Registered
2021-01-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-01
    Registered in v-safe
  3. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-01-01
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Head discomfort — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Very dizzy with heavy pressure in head
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-02
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  7. 2021-01-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Discomfort, Fatigue, Pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Extreme pressure at random that lasts up to 12-15 seconds with definate pain. Feal "unrested" after a night's sleep.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-03
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  9. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  10. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-01-05
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  12. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-01-07
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  14. 2021-01-14
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Headache — Feeling: Good
    Free text: Tiredness & random throbbing headache pains.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-01-30
    Survey response — day 28, dose 1
    MedDRA: Fatigue, Memory impairment — Feeling: Good
    Free text: Continue with fatigue and feel more forgetful. Otherwise am good.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-02
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  18. 2021-07-01
    Survey response — 6 months, dose 1
    MedDRA: Fatigue, Headache, Wheezing — Feeling: Good · Be unable to do your normal daily activities
    Free text: Wheeziness, headaches & more fatigued at times
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2022-01-02
    Survey response — 12 months, dose 1
    MedDRA: Confusional state, Diarrhoea, Fatigue, Head discomfort, Headache, Pre-existing disease, Wheezing — 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: Headaches/head pressure more often. Tired, more confusion than my "norm" living with TBI after effects. A couple of short random bouts of diarrhea with mucos. Several times have wheezing.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-01-02
    Report sent to call center — 12 months, dose 1
    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)
  21. 2022-01-04
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-01 priority 2/3
2021-01-02 priority 2/3
2021-01-03 priority 2/3
2021-01-05 priority 2/3
2022-01-02 Successful
2022-01-04
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-02

Systemic reaction (other): Very dizzy with heavy pressure in head

2021-01-03

Systemic reaction (other): Extreme pressure at random that lasts up to 12-15 seconds with definate pain. Feal "unrested" after a night's sleep.

Release 1 — day 14, dose 1

2021-01-14

Symptoms: Tiredness & random throbbing headache pains.

Release 3 — day 28, dose 1

2021-01-30

Symptoms: Continue with fatigue and feel more forgetful. Otherwise am good.

Release 9 — 6 months, dose 1

2021-07-01

Symptoms: Wheeziness, headaches & more fatigued at times

Release 10 — 12 months, dose 1

2022-01-02

Symptoms: Headaches/head pressure more often. Tired, more confusion than my "norm" living with TBI after effects. A couple of short random bouts of diarrhea with mucos. Several times have wheezing.

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
SDConfusional state · · ✓
SDDiarrhoea · · ✓
SDFatigue ✓ ✓ ✓
SDHead discomfort · · ✓
SDHeadache ✓ ✓ ✓
SDMemory impairment ✓ ✓ ✓
SDPre-existing disease · · ✓
SDWheezing ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROPain ✓ ✓ ✓

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