5V5-11987-84861 · OpenVSafe

Timeline

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

2021-03-02
Dose 1 — Moderna
2021-03-24
Registered in v-safe
2021-03-24
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-30
Survey response — day 28, dose 1
MedDRA: Adverse reaction, Blood glucose increased, Cardiac disorder, Disorientation, Dyspnoea, Fatigue, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Heart issues extreme fatigue suffered what allergic dr deemed severe adverse reactions to first moderna shot it has been more than 3 weeks extreme shortness of breathe disoriented fatigue high blood sugars · Healthcare visit (other): Consult with three drs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 28, dose 1
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)
2021-04-06
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-06-01
Survey response — 3 months, dose 1
MedDRA: Adverse reaction, Chronic lymphocytic leukaemia, Condition aggravated, Dyspnoea, Fatigue, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: CLL blood counts dropped dangerously low shortness of breathe fatigue blood work required 2 blood transfusions to date and starting Rituxin previous blood work prior to vaccine were great issues immediately after shot severe adverse reactions · Healthcare visit (other): Required lab work trsts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — 3 months, dose 1
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)
2021-07-09
Call 1 — Left Voicemail
2021-08-31
Survey response — 6 months, dose 1
MedDRA: Condition aggravated, Immunisation reaction, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Rituxin treatments for CLL needed after severe adverse reactions to moderna vaccine I have 1 shot after issues checking if J & J vaccine might be option dr advised not to get second modera shot continue blood tests every 2 weeks diabetic meds change · Healthcare visit (other): Primary dr heart dr allergist cancer dr various test and onocogist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-02
Call 1 — Left Voicemail
2021-09-02
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-03-02
Health check-in — 12 months, dose 1
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Moderna

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 6 — day 28, dose 1

2021-03-30

Symptoms: Heart issues extreme fatigue suffered what allergic dr deemed severe adverse reactions to first moderna shot it has been more than 3 weeks extreme shortness of breathe disoriented fatigue high blood sugars

Healthcare visit (other): Consult with three drs

Release 8 — 3 months, dose 1

2021-06-01

Symptoms: CLL blood counts dropped dangerously low shortness of breathe fatigue blood work required 2 blood transfusions to date and starting Rituxin previous blood work prior to vaccine were great issues immediately after shot severe adverse reactions

Healthcare visit (other): Required lab work trsts

Release 9 — 6 months, dose 1

2021-08-31

Symptoms: Rituxin treatments for CLL needed after severe adverse reactions to moderna vaccine I have 1 shot after issues checking if J & J vaccine might be option dr advised not to get second modera shot continue blood tests every 2 weeks diabetic meds change cut off by CDC

Healthcare visit (other): Primary dr heart dr allergist cancer dr various test and onocogist

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
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Adverse reaction	✓	✓	✓
SD	Blood glucose increased	✓	✓	✓
SD	Cardiac disorder	✓	✓	✓
SD	Chronic lymphocytic leukaemia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Disorientation	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Immunisation reaction	✓	·	✓
SD	Office visit	✓	·	✓
SD	Pre-existing disease	✓	✓	✓

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