OpenVSafe by OpenVAERS
Search V-safe

ZD3-17323-39393

4 vaccinations 3 coded responses 47 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
750 / TX
Registered
2021-01-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Registered in v-safe
  2. 2021-01-21
    Dose 1 — Moderna
  3. 2021-01-21
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Diarrhea
    Adult check-in
  8. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-04
    Survey response — day 14, dose 1
    MedDRA: Immunisation reaction, Injection site erythema, Injection site warmth — Feeling: Good
    Free text: COVID Arm - the area around the injection site is red and warm, approximately 2 x 4 inches that I noticed 3 days ago.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-18
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-24
    Dose 2 — Moderna
  15. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-03-10
    Survey response — day 14, dose 2
    MedDRA: Discomfort, Injection site pain, Swelling — Feeling: Good
    Free text: Soreness at the 1st dose (Jan 21) injection site left arm recurred this week after no soreness since the week after injection. There is some swelling, mild discomfort, but no fever in it. No soreness at last injection (Feb 24) site right arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-05-26
    Survey response — 3 months, dose 2
    MedDRA: Abdominal pain lower, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Fever 101.0 lower abdominal pain. Had rapid COVID test - negative. Urinalysis clear.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-05-26
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-08-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2021-10-25
    Dose 3 — Moderna
  32. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  33. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-01-24
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-05-12
    Call successful
    Does not wish to fill out VAERS report
  47. 2022-06-01
    Dose 4 — Moderna
  48. 2022-06-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  49. 2022-06-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-06-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  51. 2022-06-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-06-08
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  53. 2022-06-15
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-06-22
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-24Moderna
32021-10-25Moderna No
42022-06-01Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-26 Successful
2022-05-12
Does not wish to fill out VAERS report

Free text

Release 3 — day 14, dose 1

2021-02-04

Symptoms: COVID Arm - the area around the injection site is red and warm, approximately 2 x 4 inches that I noticed 3 days ago.

Release 5 — day 14, dose 2

2021-03-10

Symptoms: Soreness at the 1st dose (Jan 21) injection site left arm recurred this week after no soreness since the week after injection. There is some swelling, mild discomfort, but no fever in it. No soreness at last injection (Feb 24) site right arm.

Release 8 — 3 months, dose 2

2021-05-26

Symptoms: Fever 101.0 lower abdominal pain. Had rapid COVID test - negative. Urinalysis clear.

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
SDAbdominal pain lower ✓ ✓ ✓
SDDiscomfort ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSwelling ✓ ✓ ✓

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