23N-39304-53071

Timeline

1. 2021-01-26
   Registered in v-safe
2. 2021-01-26
   Dose 1 — Moderna
3. 2021-01-26
   Health check-in — day 0, dose 1

   Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

   Adult check-in
4. 2021-01-27
   Health check-in — days 1–6 daily, dose 1

   Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

   Adult check-in
5. 2021-01-28
   Survey response — days 1–6 daily, dose 1

   MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

   Free text: Both my feet ache? My feet almost never hurt.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-01-29
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

   Adult check-in
7. 2021-01-30
   Survey response — days 1–6 daily, dose 1

   MedDRA: Dysstasia — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

   Free text: I went to my office job yesterday and must have over exerted myself, because now I cant stand for more than a minute at a time

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-01-31
   Health check-in — days 1–6 daily, dose 1

   Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

   Adult check-in
9. 2021-02-01
   Health check-in — days 1–6 daily, dose 1

   Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

   Adult check-in
10. 2021-02-02
    Health check-in — day 7, dose 1

    Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

    Adult check-in
11. 2021-02-09
    Survey response — day 14, dose 1

    MedDRA: COVID-19, Chest pain, Fatigue, Gastrointestinal pain, Headache, Nausea, Office visit, Palpitations, Tremor — Feeling: Poor · Be unable to work, 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: Symptoms: Monday: went to work at 25% capacity. Left at noon. Sharp headache, nausea, heart palpitations, shaky, falling asleep at desk, sharp intestinal pain, stabs of chest pain, nausea, uncontrollable fidgeting, fatigue unfixed by rest.Tuesday: called in. · Healthcare visit (other): Covid Negative at The Little Clinic

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-02-09
    Report sent to call center — day 14, 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)
13. 2021-02-16
    Health check-in — day 21, dose 1

    Feeling: Fair

    Adult check-in
14. 2021-02-23
    Health check-in — day 28, dose 1

    Feeling: Fair

    Adult check-in
15. 2021-07-17
    Call 1 — Left Voicemail
16. 2021-07-29
    Survey response — 6 months, dose 1

    MedDRA: Asthenia, Brain fog, Cardiac valve disease, Chest pain, Fatigue, Heart rate irregular, Office visit, Pain in jaw — Feeling: Poor · Be unable to work or attend school, 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

    Free text: Symptoms: Frequent irregular heartbeats, weakened mitral valve, brain fog, chest pain, L jaw pain, debilitating fatigue. The Covid Vaccine debilitated me!You refuse me disability, insurance, or unemployment. The vaccine cost me thousands in medical bills · Healthcare visit (other): Cardiologist, Neurologist, PCP. You killed me.

    MedDRA releases: 2021-09,2024-11 · check-in free text available
17. 2021-07-29
    Report sent to call center — 6 months, dose 1

    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

    1 call case(s)
18. 2021-08-09
    Call successful

    Participant prefers to complete VAERS report online
19. 2022-01-26
    Survey response — 12 months, dose 1

    MedDRA: Amnesia, Asthenia, Brain fog, Chest pain, Fatigue, Myocardial infarction — Feeling: Poor · Be unable to work or attend school, 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

    Free text: I'm still COMPLETELY debilitated from the Covid Vaccine. I have Chronic Fatigue, Brain Fog, Short Term Memory Loss, Chest Pain, and I had my SECOND heart attack in December (first being in July). You stole my life - call me, hear me, help me.

    MedDRA releases: 2024-11 · check-in free text available
20. 2022-01-26
    Report sent to call center — 12 months, dose 1

    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
21. 2022-01-28
    Call successful

    Reported to VAERS voluntarily prior to GDIT contact