ZY6-17111-61639 · OpenVSafe

Timeline

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

2021-02-14
Dose 1 — Moderna
2021-02-28
Registered in v-safe
2021-02-28
Survey response — day 14, dose 1
MedDRA: Eosinophil count decreased, Monocyte count decreased, Neutrophil count decreased, Platelet count decreased, Pre-existing disease, White blood cell count decreased — Feeling: Fair · Be unable to work

Free text: Significant decrease in White Blood cell count to 1.2 L, Platelet count 95 L, Absolute Neutrophils 157 LL, Absolute Monocytes 29 L, Absolute Eosinophils 10 L tested after 5 days after vaccination.Also Type II Diabetic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-14
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-21
Survey response — day 35, dose 1
MedDRA: Dysphagia, Hospitalisation, Immune system disorder, Lymphocyte count decreased, Pharyngeal ulceration, Platelet count decreased, Pre-existing disease, White blood cell count decreased — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Immune system continued to crash. Low wbc count, low platelet count, and low lymphocytes.Sores in the throat and difficulty swallowing. · Healthcare visit (other): Hospitalized on march 20. Will be having bone marrow biopsy march 22.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Report sent to call center — day 35, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-28
Survey response — day 42, dose 1
MedDRA: Chemotherapy, Pancytopenia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Pancytopenia; receiving chemotherapy in-patient.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 42, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-15
Health check-in — 6 months, dose 1
Feeling: Good

Adult check-in
2021-12-16
Call 2 — Left Voicemail
2022-02-14
Survey response — 12 months, dose 1
MedDRA: Calculus bladder, Office visit, Prostatic calcification — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Prostate calcifications and bladder stones. · Healthcare visit (other): Urologist Doctor office visit.

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Report sent to call center — 12 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-15
Call 1 — Left Voicemail
2022-02-15
Call 1 — Left Voicemail
2022-02-15
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-14	Moderna

Call center

3 call center cases

3 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-28

Symptoms: Significant decrease in White Blood cell count to 1.2 L, Platelet count 95 L, Absolute Neutrophils 157 LL, Absolute Monocytes 29 L, Absolute Eosinophils 10 L tested after 5 days after vaccination.Also Type II Diabetic.

Release 6 — day 35, dose 1

2021-03-21

Symptoms: Immune system continued to crash. Low wbc count, low platelet count, and low lymphocytes.Sores in the throat and difficulty swallowing.

Healthcare visit (other): Hospitalized on march 20. Will be having bone marrow biopsy march 22.

Release 6 — day 42, dose 1

2021-03-28

Symptoms: Pancytopenia; receiving chemotherapy in-patient.

Release 11 — 12 months, dose 1

2022-02-14

Symptoms: Prostate calcifications and bladder stones.

Healthcare visit (other): Urologist Doctor office visit.

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	Hospitalisation	✓	✓	✓
HCVO	Office visit	·	·	✓
HCVO	Pre-existing disease	✓	✓	✓
SD	Calculus bladder	·	·	✓
SD	Chemotherapy	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Eosinophil count decreased	✓	✓	✓
SD	Immune system disorder	✓	✓	✓
SD	Lymphocyte count decreased	✓	✓	✓
SD	Monocyte count decreased	✓	✓	✓
SD	Neutrophil count decreased	✓	✓	✓
SD	Pancytopenia	✓	✓	✓
SD	Pharyngeal ulceration	✓	✓	✓
SD	Platelet count decreased	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Prostatic calcification	·	·	✓
SD	White blood cell count decreased	✓	✓	✓

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