3AC-82632-33858 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-02-11
Dose 1 — Moderna
2021-02-17
Registered in v-safe
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Fast heartbeat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Survey response — day 21, dose 1
MedDRA: Decreased appetite, Nausea, Pancreatic disorder, SARS-CoV-2 test negative, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Severe pancreatic attack, nausea, vomiting, cant eat. Can only drink clear liquids since last checkin. Arthritis doctor thought because of first reaction was very bad he tested me for antigen covid which was neg. Still not sure about getting 2nd dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 28, dose 1
MedDRA: Feeding disorder, Pancreatic disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Pancreatic attack still getting worse. Can't eat. Can only drink fluids.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 35, dose 1
MedDRA: Feeding disorder, Pancreatic disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Still having pancreatic attack. Can only drink fluids, can't eat solid foods. (b)(6) County Health Department in Georgia wouldnt give me my second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-05-15
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-08-14
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): Fast heartbeat

Release 5 — day 21, dose 1

2021-03-04

Symptoms: Severe pancreatic attack, nausea, vomiting, cant eat. Can only drink clear liquids since last checkin. Arthritis doctor thought because of first reaction was very bad he tested me for antigen covid which was neg. Still not sure about getting 2nd dose cut off by CDC

Release 5 — day 28, dose 1

2021-03-11

Symptoms: Pancreatic attack still getting worse. Can't eat. Can only drink fluids.

Release 5 — day 35, dose 1

2021-03-18

Symptoms: Still having pancreatic attack. Can only drink fluids, can't eat solid foods. (b)(6) County Health Department in Georgia wouldnt give me my second shot.

redacted (b)(6)

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

Field	Preferred term	2021-09	2023-04	2024-11
SD	Decreased appetite	✓	✓	✓
SD	Feeding disorder	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pancreatic disorder	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Vomiting	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓

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