6CJ-78963-08156 · OpenVSafe

Timeline

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

2021-01-05
Dose 1 — Moderna
2021-01-29
Registered in v-safe
2021-01-29
Survey response — day 21, dose 1
MedDRA: Abdominal pain, Diaphragmalgia, Electric shock sensation, Heart rate increased, Joint swelling, Lymphadenopathy, Pain, Tongue haemorrhage — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swelling of lymph nodes, abdominal pain, rapid heart rate, swollen joints, shock like feelings in both legs, variuous organs hurting intermittently, diaphragm pain, and mild tongue bleeding.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-04
Survey response — day 28, dose 1
MedDRA: Condition aggravated, Cytokine storm, Medical counselling, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have Sjogrens Syndrome and Had a cytokine storm about 1 week after first injection. Progressively got worse. Seen rheumatologist,GP, and hematologist. Waiting for all test results All doctors said it was definitely from the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Survey response — day 42, dose 1
MedDRA: Immunisation reaction, Neuropathy peripheral, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continuing to have pain in different areas. Waiting on hematologist to go over all my blood work. My d dimmer was over 3 times what it should be. I have also neuropathy. As of now doctor said that I could not take second vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Report sent to call center — day 42, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Survey response — 3 months, dose 1
MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: There have been multiple issues. Blood in mouth,neuropathy, Sjogrens much worse. Pain in left side as well as numerous other problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-09
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-01-07
Survey response — 12 months, dose 1
MedDRA: Cytokine storm, Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Really bad headaches. Had MRI Still having issues due to the cytokine storm

MedDRA releases: 2024-11 · check-in free text available
2022-01-07
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-11
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Moderna

Call center

5 call center cases

5 successful

VAERS report filed, before or during a call: 5

See the call center timeline

Free text

Release 3 — day 21, dose 1

2021-01-29

Symptoms: Swelling of lymph nodes, abdominal pain, rapid heart rate, swollen joints, shock like feelings in both legs, variuous organs hurting intermittently, diaphragm pain, and mild tongue bleeding.

Release 3 — day 28, dose 1

2021-02-04

Symptoms: I have Sjogrens Syndrome and Had a cytokine storm about 1 week after first injection. Progressively got worse. Seen rheumatologist,GP, and hematologist. Waiting for all test results All doctors said it was definitely from the vaccine

Release 4 — day 42, dose 1

2021-02-18

Symptoms: Continuing to have pain in different areas. Waiting on hematologist to go over all my blood work. My d dimmer was over 3 times what it should be. I have also neuropathy. As of now doctor said that I could not take second vaccine

Release 7 — 3 months, dose 1

2021-04-06

Symptoms: There have been multiple issues. Blood in mouth,neuropathy, Sjogrens much worse. Pain in left side as well as numerous other problems

Release 10 — 12 months, dose 1

2022-01-07

Symptoms: Really bad headaches. Had MRI Still having issues due to the cytokine storm

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	Abdominal pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cytokine storm	✓	✓	✓
SD	Diaphragmalgia	✓	✓	✓
SD	Electric shock sensation	✓	✓	✓
SD	Headache	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Joint swelling	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tongue haemorrhage	✓	✓	✓

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