XYN-33260-36098 · OpenVSafe

Timeline

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

2021-02-11
Dose 1 — Moderna
2021-03-11
Registered in v-safe
2021-03-11
Survey response — 28 day, dose 1
MedDRA: Burning sensation, Immediate post-injection reaction, Pneumonitis — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-18
Health check-in — 35 day, dose 1
Feeling: Fair

Adult check-in
2021-03-26
Health check-in — 42 day, dose 1
Feeling: Fair

Adult check-in
2021-05-16
Survey response — 3 month, dose 1
MedDRA: Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-16
Report sent to call center — 3 month, 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)
2021-08-13
Health check-in — 6 month, dose 1
Feeling: Fair

Adult check-in
2022-02-10
Call 1 — Left Voicemail
2022-02-11
Survey response — 12 month, dose 1
MedDRA: Dyspnoea exertional — Feeling: Poor

MedDRA releases: 2024-11 · check-in answers available

Vaccinations

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

Call center

Reported	Outcome	VAERS-related outcome
2021-05-16	Unsuccessful

Free text

Release 5

Symptoms: About 20 mins after 1st vaccine-burning in both arms for about 6-8 hours, and it burned my lungs ( felt like Id been exposed to strong chemicals). I could really feel it for about 2 1/2 weeks, and I still feel it.

Release 8

Symptoms: Perforated colon requiring bowel resection. The effect on my lungs from the covid-19 vaccine has not improved- still experienced difficulty with my breathing.

Release 11

Symptoms: Breathing is more labored with mild exertion. Makes daily activities more difficult. Questions below don't allow for proper answers.

Free-text releases are not linked to a specific 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	Burning sensation	✓	✓	✓
SD	Dyspnoea exertional	·	·	✓
SD	Immediate post-injection reaction	✓	·	✓
SD	Pneumonitis	○	✓	○
SD	Pre-existing disease	✓	✓	✓

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