OpenVSafe by OpenVAERS
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ZCC-47656-80888

4 vaccinations 10 coded responses 53 check-ins 9 free-text entries 6 call cases
Sex
Male
Age at first dose
66+
ZIP prefix
540 / WI
Registered
2021-03-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Registered in v-safe
  2. 2021-03-02
    Dose 1 — Moderna
  3. 2021-03-02
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Joint pains, Muscle or body aches
    Free text: Seems RA is acting up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-30
    Survey response — day 28, dose 1
    MedDRA: Fatigue — Feeling: Fair
    Free text: Tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-01
    Dose 2 — Moderna
  15. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-08
    Survey response — day 7, dose 2
    MedDRA: Adverse reaction, Pre-existing disease — Feeling: Poor · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: May be due to my inflammatory disease
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-08
    Report sent to call center — day 7, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-04-15
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Headache, Pre-existing disease, Pyrexia, Urinary tract infection — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: UTI with fever, confusion, worsened Parkinson's symptoms, joint and muscle inflammation and pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-15
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-04-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-05-13
    Survey response — day 42, dose 2
    MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Raw rash on end of penis. Having trouble clearing it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-05-13
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-07-01
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  31. 2021-08-19
    Dose 3 — Moderna
  32. 2021-08-19
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  33. 2021-08-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  34. 2021-08-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  35. 2021-08-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  36. 2021-08-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-08-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-08-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-08-26
    Health check-in — day 7, dose 3
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  40. 2021-09-02
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  41. 2021-09-09
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  42. 2021-09-16
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  43. 2021-09-23
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  44. 2021-09-30
    Survey response — day 42, dose 3
    MedDRA: Arthralgia, Arthritis, Asthenia, Back pain, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Much increased arthritic pain in both hips & back, painful when walking, getting up or down & sitting. Lack of energy.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2021-11-18
    Survey response — 3 months, dose 3
    MedDRA: Hospitalisation, Pneumonia, Sinus congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Hospitalized with pneumonia October 26-November 1. Stuffed up sinus this week.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2021-11-18
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  47. 2021-11-19
  48. 2021-11-19
  49. 2021-11-19
  50. 2021-11-19
  51. 2022-02-17
    Survey response — 6 months, dose 3
    MedDRA: Hospitalisation, Pneumonia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Hospitalized for pneumonia, not related to covid-19, Jan 30 - Feb 1.
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-02-17
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  53. 2022-02-18
  54. 2022-02-23
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  55. 2022-02-23
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  56. 2022-02-23
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  57. 2022-02-23
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  58. 2022-02-23
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  59. 2022-04-22
    Dose 4 — Moderna
  60. 2022-04-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  61. 2022-04-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  62. 2022-04-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  63. 2022-04-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  64. 2022-04-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  65. 2022-04-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  66. 2022-04-29
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  67. 2022-05-06
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  68. 2022-05-13
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  69. 2022-05-20
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  70. 2022-05-27
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  71. 2022-06-03
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  72. 2022-07-22
    Survey response — 3 months, dose 4
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue
    MedDRA releases: 2024-11 · check-in free text available
  73. 2023-04-22
    Survey response — 12 months, dose 4
    MedDRA: COVID-19, Hospitalisation — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    MedDRA releases: 2024-11
  74. 2023-04-22
    Report sent to call center — 12 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  75. 2023-04-24
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-04-01Moderna
32021-08-19Moderna No
42022-04-22Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-04-08 Successful
2022-02-23
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-04-15 Successful
2022-02-23
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-05-13 Successful
2022-02-23
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-11-18 Successful
2022-02-23
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-02-17 Successful
2022-02-23
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-04-22 Successful
2023-04-24
 Does not wish to fill out VAERS report

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Seems RA is acting up.

Release 6 — day 28, dose 1

2021-03-30

Symptoms: Tiredness

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): May be due to my inflammatory disease

Release 7 — day 14, dose 2

2021-04-15

Symptoms: UTI with fever, confusion, worsened Parkinson's symptoms, joint and muscle inflammation and pain.

Release 8 — day 42, dose 2

2021-05-13

Symptoms: Raw rash on end of penis. Having trouble clearing it.

Release 9 — day 42, dose 3

2021-09-30

Symptoms: Much increased arthritic pain in both hips & back, painful when walking, getting up or down & sitting. Lack of energy.

Release 10 — 3 months, dose 3

2021-11-18

Symptoms: Hospitalized with pneumonia October 26-November 1. Stuffed up sinus this week.

Release 11 — 6 months, dose 3

2022-02-17

Symptoms: Hospitalized for pneumonia, not related to covid-19, Jan 30 - Feb 1.

Release 12 — 3 months, dose 4

2022-07-22

Symptoms: Fatigue

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
SDArthralgia ✓ ✓ ✓
SDArthritis · · ✓
SDAsthenia · · ✓
SDBack pain · · ✓
SDCOVID-19 · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHospitalisation · · ✓
SDPain · · ✓
SDPneumonia · · ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSinus congestion · · ✓
SDUrinary tract infection ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORheumatoid arthritis ✓ ✓ ✓

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

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