Y3D-10259-46784 · OpenVSafe

Timeline

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

2021-01-02
Dose 1 — Moderna
2021-01-28
Dose 2 — Moderna
2021-02-07
Registered in v-safe
2021-02-07
Survey response — day 7, dose 2
MedDRA: Abdominal pain, Back pain, Cardiomyopathy, Discomfort, Echocardiogram, Ejection fraction, Ejection fraction decreased, Flatulence, Impaired driving ability, Impaired work ability, Office visit, Pain — Feeling: Poor · Site: Pain · Abdominal pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Acute Cardiomyopathy and daily intermittent bouts of abdominal pain that radiates to back. · Healthcare visit (other): Cardiologist, echocardiogram, 24 hour telemetry, and limitations at work. I cant drive anything because my ejection fraction dropped to 40, but I can still fight fire, just no driving. I havent seen anyone about the abdominal pain yet but its getting to where I may go soon. The pain is pretty disruptive and has been going on every day since the second shot. It feels like gas pains and comes a few times a day. Its very uncomfortable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Survey response — day 35, dose 2
MedDRA: Hypersomnia, Malaise, Pre-existing disease — Feeling: Fair

Free text: Im sleeping a lot every day and I have kind of a generally feeling of malaise. The cardiomyopathy is still there to my knowledge. Follow up soon. Still almost in heart failure EF ~37. Bazaar for athletic 30 YO healthy firefighter. All after 1st sh

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Call 1 — Left Voicemail
2021-07-29
Survey response — 6 months, dose 2
MedDRA: Cardiac disorder, Ejection fraction decreased — Feeling: Fair · Be unable to work or attend school

Free text: Still continuing to battle with the heart damage and decreased ejection fraction.

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-02	Moderna
2	2021-01-28	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-02-07	Unsuccessful

Free text

Release 3 — day 7, dose 2

2021-02-07

Systemic reaction (other): Acute Cardiomyopathy and daily intermittent bouts of abdominal pain that radiates to back.

Healthcare visit (other): Cardiologist, echocardiogram, 24 hour telemetry, and limitations at work. I cant drive anything because my ejection fraction dropped to 40, but I can still fight fire, just no driving. I havent seen anyone about the abdominal pain yet but its getting to where I may go soon. The pain is pretty disruptive and has been going on every day since the second shot. It feels like gas pains and comes a few times a day. Its very uncomfortable.

Release 5 — day 35, dose 2

2021-03-06

Symptoms: Im sleeping a lot every day and I have kind of a generally feeling of malaise. The cardiomyopathy is still there to my knowledge. Follow up soon. Still almost in heart failure EF ~37. Bazaar for athletic 30 YO healthy firefighter. All after 1st sh

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Still continuing to battle with the heart damage and decreased ejection fraction.

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	Abdominal pain	✓	✓	✓
HCVO	Discomfort	✓	✓	✓
HCVO	Echocardiogram	○	✓	○
HCVO	Ejection fraction	○	✓	○
HCVO	Ejection fraction decreased	✓	·	✓
HCVO	Flatulence	✓	✓	✓
HCVO	Impaired driving ability	✓	✓	✓
HCVO	Impaired work ability	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Cardiac disorder	✓	·	✓
SD	Ejection fraction decreased	✓	·	✓
SD	Hypersomnia	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Cardiomyopathy	✓	✓	✓
SRO	Pain	✓	·	✓

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