OpenVSafe by OpenVAERS
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ZBJ-26141-14387

3 vaccinations 13 coded responses 25 check-ins 13 free-text entries 5 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
403 / KY
Registered
2021-01-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-09
    Registered in v-safe
  2. 2021-01-09
    Dose 1 — Moderna
  3. 2021-01-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-30
    Survey response — day 21, dose 1
    MedDRA: Hospitalisation, Oropharyngeal pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Extreme pain in right side of throat, currently inpatient at(b)(6). Dont have diagnosis yet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-30
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-02-06
    Dose 2 — Moderna
  8. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-13
    Survey response — day 35, dose 2
    MedDRA: Feeling cold, Headache, Inflammation, Muscular weakness, Tremor — Feeling: Poor · 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, Hospitalization
    Free text: Inflammation in the trigeminal glands, weakness in the legs and arms. Daily headaches . Freezing, shaking but no fever.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-13
    Report sent to call center — day 35, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-05-08
    Survey response — 3 months, dose 2
    MedDRA: Glossopharyngeal neuralgia — Feeling: Poor · 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, Hospitalization
    Free text: Glossopharyngeal Neuralgia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-08
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-05-26
    Call successful
    Does not wish to fill out VAERS report
  17. 2021-08-07
    Survey response — 6 months, dose 2
    MedDRA: Balance disorder, Glossopharyngeal neuralgia, Headache, Lymphadenopathy — Feeling: Poor · 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, Hospitalization
    Free text: Symptoms: Constant headache, swelling of the trigeminal glands, and balance issues. · Healthcare visit (other): Glossopharyngeal neuralgia
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-07
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-08-13
  20. 2021-10-25
    Dose 3 — Moderna
  21. 2021-10-25
    Survey response — day 0, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: None
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  29. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-06
    Survey response — day 42, dose 3
    MedDRA: Trigeminal neuralgia, Trigeminal neuritis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Trigeminal glands swollen and have pain.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-06
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  35. 2021-12-07
  36. 2022-01-24
    Survey response — 3 months, dose 3
    MedDRA: Lymphadenopathy, Pain — Feeling: Good
    Free text: I have low grade pain and swelling in glands
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna
22021-02-06Moderna
32021-10-25Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-01-30 Successful Does not wish to fill out VAERS report
2021-03-13 Successful Does not wish to fill out VAERS report
2021-05-08 Successful
2021-05-26
 Does not wish to fill out VAERS report
2021-08-07 Unsuccessful
2021-12-06 Unsuccessful

Free text

Release 3 — day 21, dose 1

2021-01-30

Symptoms: Extreme pain in right side of throat, currently inpatient at(b)(6). Dont have diagnosis yet.
redacted (b)(6)

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Inflammation in the trigeminal glands, weakness in the legs and arms. Daily headaches . Freezing, shaking but no fever.

Release 8 — 3 months, dose 2

2021-05-08

Symptoms: Glossopharyngeal Neuralgia

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Constant headache, swelling of the trigeminal glands, and balance issues.
Healthcare visit (other): Glossopharyngeal neuralgia

Release 10 — day 0, dose 3

2021-10-25

Systemic reaction (other): No

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): None

2021-10-27

Systemic reaction (other): No

2021-10-28

Systemic reaction (other): None

2021-10-29

Systemic reaction (other): None

2021-10-30

Systemic reaction (other): None

2021-10-31

Systemic reaction (other): None

Release 10 — day 42, dose 3

2021-12-06

Symptoms: Trigeminal glands swollen and have pain.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: I have low grade pain and swelling in glands

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
HCVOGlossopharyngeal neuralgia ✓ · ✓
SDBalance disorder ✓ · ✓
SDFeeling cold ✓ ✓ ✓
SDGlossopharyngeal neuralgia ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHospitalisation ✓ ✓ ✓
SDInflammation ✓ ✓ ✓
SDLymphadenopathy ✓ · ✓
SDMuscular weakness ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain · · ✓
SDTremor ✓ ✓ ✓
SDTrigeminal neuralgia · · ✓
SDTrigeminal neuritis · · ✓
SRONo adverse event · · ✓

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

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