ZWY-21649-26751 · OpenVSafe

Timeline

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

2021-01-14
Dose 1 — Moderna
2021-02-18
Dose 2 — Moderna
2021-03-17
Registered in v-safe
2021-03-17
Survey response — day 21, dose 2
MedDRA: Cardiac disorder, Hospitalisation, Muscle strain, Pulmonary embolism, Pulmonary thrombosis, Thrombosis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Friday March 5-8 hospitalized for pulmonary embolism. Treated with blood thinners and continue to be on blood thinners. Clotting in legs and then both lungs. No health issues or clotting prior to seeing maderna vaccine. Some heart strain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-25
Survey response — day 35, dose 2
MedDRA: Hospitalisation, Pulmonary embolism, Thrombosis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I was hospitalized a week following my second vaccine for pulmonary embolisms. Lucky to be alive!!!! Warning-some folks will have an autoimmune response and develop clotting in legs and lungs like I did. I had the maderna vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 42, dose 2
MedDRA: Hospitalisation, Pulmonary embolism — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: I was hospitalized within 5 days of my second vaccine for a pulmonary embolism

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-19
Survey response — 6 months, dose 2
MedDRA: Pulmonary thrombosis — Feeling: Poor · Be unable to work or attend school

Free text: Many Blood clots in my lungs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-19
Survey response — 12 months, dose 2
MedDRA: Pulmonary embolism — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Pulmonary embolisms after the second Moderna vaccine in both lungs have not gone way

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Moderna
2	2021-02-18	Moderna

Free text

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Friday March 5-8 hospitalized for pulmonary embolism. Treated with blood thinners and continue to be on blood thinners. Clotting in legs and then both lungs. No health issues or clotting prior to seeing maderna vaccine. Some heart strain.

Release 6 — day 35, dose 2

2021-03-25

Symptoms: I was hospitalized a week following my second vaccine for pulmonary embolisms. Lucky to be alive!!!! Warning-some folks will have an autoimmune response and develop clotting in legs and lungs like I did. I had the maderna vaccine.

Release 6 — day 42, dose 2

2021-04-01

Symptoms: I was hospitalized within 5 days of my second vaccine for a pulmonary embolism

Release 9 — 6 months, dose 2

2021-08-19

Symptoms: Many Blood clots in my lungs

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Pulmonary embolisms after the second Moderna vaccine in both lungs have not gone way

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	Cardiac disorder	·	·	✓
SD	Hospitalisation	✓	✓	✓
SD	Muscle strain	✓	✓	○
SD	Pulmonary embolism	✓	✓	✓
SD	Pulmonary thrombosis	✓	·	✓
SD	Thrombosis	✓	✓	✓

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