6W4-10117-49878 · OpenVSafe

Timeline

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

2021-04-09
Dose 1 — Moderna
2021-05-14
Registered in v-safe
2021-07-11
Survey response — 3 months, dose 1
MedDRA: Impaired work ability, Malaise, Pain, Pollakiuria — Feeling: Poor · Be unable to work or attend school, 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, Emergency room or emergency department visit, Hospitalization

Free text: I have around 26 symtoms. Most debilitating one now is probable interstitial cystitis. I cannot stop peeing and im in pain. I have to have a cystoscopy. I need help! I am very ill! I cant work or pay my bills!!! I feel like im slowly dying.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Report sent to call center — 3 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-19
Call 1 — Left Voicemail
2022-04-11
Survey response — 12 months, dose 1
MedDRA: Disability, Unevaluable event — Feeling: Poor · Be unable to work or attend school, 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, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Fuck you! Report on vaccine injuries so we can get help! We are dying and you are silent! You get no more info from me until you start telling the truth! 27 newly dx conditions. Permanently disabled. Granted (b)(6) unemployability Shame on you!!! · Healthcare visit (other): Discrimination, negligence and patient abandonment! Traumatized!

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Report sent to call center — 12 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-04-13
Call 1 — Left Voicemail
2022-04-14
Call 2 — Left Voicemail
2022-04-14
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 9 — 3 months, dose 1

2021-07-11

Symptoms: I have around 26 symtoms. Most debilitating one now is probable interstitial cystitis. I cannot stop peeing and im in pain. I have to have a cystoscopy. I need help! I am very ill! I cant work or pay my bills!!! I feel like im slowly dying.

Release 11 — 12 months, dose 1

2022-04-11

Symptoms: Fuck you! Report on vaccine injuries so we can get help! We are dying and you are silent! You get no more info from me until you start telling the truth! 27 newly dx conditions. Permanently disabled. Granted (b)(6) unemployability Shame on you!!! cut off by CDC

Healthcare visit (other): Discrimination, negligence and patient abandonment! Traumatized!

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
HCVO	Unevaluable event	·	·	✓
SD	Disability	·	·	✓
SD	Impaired work ability	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pollakiuria	✓	✓	✓

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