4HT-27023-92307 · OpenVSafe

Timeline

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

2021-02-02
Dose 1 — Moderna
2021-03-03
Dose 2 — Moderna
2021-09-23
Registered in v-safe
2021-09-23
Dose 3 — Moderna
2021-09-23
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-09-25
Survey response — days 1–6 daily, dose 3
MedDRA: Asthenia — Feeling: Good

Free text: I feel weak, most likely from my Lipton shot that I get every 3 months from Marin caver care

MedDRA releases: 2024-11 · check-in free text available
2021-09-26
Survey response — days 1–6 daily, dose 3
MedDRA: Asthenia, Fatigue, Office visit, Pre-existing disease — Feeling: Good

Free text: I am quite week and a bit tired. But it is probably due to the lupron shots that I get at Marin Cancer Care every 3 months which have been reducing my tstasteron

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · None

Adult check-in
2021-09-28
Survey response — days 1–6 daily, dose 3
MedDRA: Asthenia, Hormone therapy — Feeling: Fair

Free text: Just weak from hormone therapy

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease — Feeling: Good

Free text: Normally weak from hormone treatment Lupron shot every 3months at (b)(6)

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — day 7, dose 3
MedDRA: Asthenia, Unevaluable event — Feeling: Fair · Fatigue or tiredness

Free text: Weak as a kitten, probably due to cancer treatment hormone treatment to lower my testosterone through a Lipton shot eve very 3 months. Not the Moderna booster shot.

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-29
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-23
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-02	Moderna	No
2	2021-03-03	Moderna	No
3	2021-09-23	Moderna	No

Free text

Release 9 — days 1–6 daily, dose 3

2021-09-25

Systemic reaction (other): I feel weak, most likely from my Lipton shot that I get every 3 months from Marin caver care

2021-09-26

Systemic reaction (other): I am quite week and a bit tired. But it is probably due to the lupron shots that I get at Marin Cancer Care every 3 months which have been reducing my tstasteron

2021-09-28

Systemic reaction (other): Just weak from hormone therapy

2021-09-29

Systemic reaction (other): Normally weak from hormone treatment Lupron shot every 3months at (b)(6)

redacted (b)(6)

Release 9 — day 7, dose 3

2021-10-04

Systemic reaction (other): Weak as a kitten, probably due to cancer treatment hormone treatment to lower my testosterone through a Lipton shot eve very 3 months. Not the Moderna booster shot.

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
SRO	Asthenia	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Hormone therapy	·	·	✓
SRO	Office visit	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Unevaluable event	·	·	✓

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