ZBW-32086-45940 · OpenVSafe

Timeline

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

2021-03-05
Dose 1 — Moderna
2021-03-13
Registered in v-safe
2021-03-13
Survey response — day 7, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: I have lupus, COPD, heart issues, Stage 3 renal failure, hypothyroidism, IBS, diabetes, pancreatic disability, glaucoma, macular degeneration, plaque psoriasis, fibromyalgia, back issues, gout and esophaguses dis mobility.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 21, dose 1
MedDRA: Fatigue, Oedema peripheral, Pruritus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Leg breakout with fluid, some edema and arm itching. I will be seeing my (b)(6) dermatologist on Wednesday. Extremely fatigued, but I have a lot of major health issues and taking a lot of medications.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Dose 2 — Moderna
2021-04-02
Survey response — day 0, dose 2
MedDRA: Adverse reaction, Aortic occlusion, Chest discomfort, Coronary arterial stent insertion, Medical counselling, Pre-existing disease, Skin ulcer, Unevaluable event — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · 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: Systemic reaction (other): Have had these symptoms for at least 6 months. Have Lupus, Diabetes, COPD, Heart Condition, Stage 4 Renal Failure, Hypothyroidism and several Medication Side Effects. · Healthcare visit (other): Chest attacks, heart stent in 90% blockage of main artery. Leg sores.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 0, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea, Fatigue — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Ive had severe fatigue and diarrhea for quite awhile, do to other health issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Call 1 — Left Voicemail
2021-06-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Moderna
2	2021-04-02	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-03-26	Unsuccessful
2021-04-02	Unsuccessful

Free text

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): I have lupus, COPD, heart issues, Stage 3 renal failure, hypothyroidism, IBS, diabetes, pancreatic disability, glaucoma, macular degeneration, plaque psoriasis, fibromyalgia, back issues, gout and esophaguses dis mobility.

Release 6 — day 21, dose 1

2021-03-26

Symptoms: Leg breakout with fluid, some edema and arm itching. I will be seeing my (b)(6) dermatologist on Wednesday. Extremely fatigued, but I have a lot of major health issues and taking a lot of medications.

redacted (b)(6)

Release 6 — day 0, dose 2

2021-04-02

Systemic reaction (other): Have had these symptoms for at least 6 months. Have Lupus, Diabetes, COPD, Heart Condition, Stage 4 Renal Failure, Hypothyroidism and several Medication Side Effects.

Healthcare visit (other): Chest attacks, heart stent in 90% blockage of main artery. Leg sores.

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Ive had severe fatigue and diarrhea for quite awhile, do to other health issues.

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	Aortic occlusion	✓	·	✓
HCVO	Arterial occlusive disease	○	·	○
HCVO	Chest discomfort	✓	·	✓
HCVO	Coronary arterial stent insertion	✓	·	✓
HCVO	Medical counselling	○	✓	○
HCVO	Skin lesion	○	·	○
HCVO	Skin ulcer	✓	·	✓
HCVO	Stent placement	○	·	○
SD	Fatigue	✓	✓	✓
SD	Oedema peripheral	✓	✓	✓
SD	Pruritus	✓	✓	✓
SRO	Adverse reaction	✓	·	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	○	✓	○

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