YXY-29875-09319 · OpenVSafe

Timeline

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

2021-03-31
Registered in v-safe
2021-03-31
Dose 1 — Moderna
2021-03-31
Survey response — day 0, dose 1
MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Fatigue and tired due to not taking my first insulin dose of lispro 100u/ml missed. Had to walk 8 to 10 blocks to the site I believe those two situations got me feeling that way aslo I heart condition. They got more complicated when I got covid 19. Be save very one.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 7, dose 1
MedDRA: Diarrhoea — Feeling: Fair · Diarrhea

Free text: I believe my diarrhea is due to my insulin lispro taking three times a day. Also taking metformin twice a day. Some times I get diarrhea from this medication.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Dose 2 — Moderna
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-05-05
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness, Diarrhea

Free text: Tired due to my diebiets I think.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Survey response — 3 months, dose 2
MedDRA: Back pain, Brain fog, Dyspnoea, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Shortness of breath , back pain , brain haze, deities got complicated, know I have to go for cath lab angio plasty. This conditions that covid left me with after I got it back in January 2020.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-31	Moderna
2	2021-04-28	Moderna

Free text

Release 6 — day 0, dose 1

2021-03-31

Systemic reaction (other): Fatigue and tired due to not taking my first insulin dose of lispro 100u/ml missed. Had to walk 8 to 10 blocks to the site I believe those two situations got me feeling that way aslo I heart condition. They got more complicated when I got covid 19. Be save very one.

Release 7 — day 7, dose 1

2021-04-09

Systemic reaction (other): I believe my diarrhea is due to my insulin lispro taking three times a day. Also taking metformin twice a day. Some times I get diarrhea from this medication.

Release 8 — day 7, dose 2

2021-05-05

Systemic reaction (other): Tired due to my diebiets I think.

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: Shortness of breath , back pain , brain haze, deities got complicated, know I have to go for cath lab angio plasty. This conditions that covid left me with after I got it back in January 2020.

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	Back pain	✓	·	✓
SD	Brain fog	✓	·	✓
SD	Dyspnoea	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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