YXX-17043-65076 · OpenVSafe

Timeline

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

2021-03-18
Registered in v-safe
2021-03-18
Dose 1 — Janssen/Johnson & Johnson
2021-03-18
Survey response — day 0, dose 1
MedDRA: Blood glucose increased — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Increased Blood Sugar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased, Heart rate increased, Hypotension — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Rapid heart rate, low blood presssure, increased blood sugar without other known cause.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 21, single dose
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, single dose
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 35, single dose
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 42, single dose
Feeling: Good

Adult check-in
2021-09-16
Survey response — 6 months, dose 1
MedDRA: Oropharyngeal pain, Productive cough, Rhinorrhoea — Feeling: Fair

Free text: Runny nose, productive cough, sore throat.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Dose 2 — Moderna
Co-administered: Flu
2021-11-03
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-12-01
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2022-01-28
Survey response — 3 months, dose 2
MedDRA: Fatigue, Headache, Nausea, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Runny nose, headache, nausea, fatigue.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Janssen/Johnson & Johnson
2	2021-10-27	Moderna	Flu

Free text

Release 5 — day 0, dose 1

2021-03-18

Systemic reaction (other): Increased Blood Sugar

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Rapid heart rate, low blood presssure, increased blood sugar without other known cause.

Release 9 — 6 months, dose 1

2021-09-16

Symptoms: Runny nose, productive cough, sore throat.

Release 11 — 3 months, dose 2

2022-01-28

Symptoms: Runny nose, headache, nausea, fatigue.

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	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Productive cough	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Hypotension	✓	✓	✓

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