2QC-26566-85119

Timeline

1. 2021-04-06
   Dose 1 — Moderna
2. 2021-04-07
   Registered in v-safe
3. 2021-04-07
   Survey response — days 1–6 daily, dose 1

   MedDRA: Feeling hot, Hyperhidrosis, Paraesthesia, Unevaluable event — Feeling: Poor · Site: Swelling · Fever · Fatigue or tiredness · Get care from a doctor or other healthcare professional

   Free text: Systemic reaction (other): Tingling and heat on the skin. Mostly face and down armsto hands. Sweating at the top of my back below my neck · Healthcare visit (other): Appointment for my dog

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-04-07
   Report sent to call center — days 1–6 daily, dose 1

   Get care from a doctor or other healthcare professional

   1 call case(s)
5. 2021-04-08
   Survey response — days 1–6 daily, dose 1

   MedDRA: Fatigue, Pruritus — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

   Free text: Itchy and really tired

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

   MedDRA: Decreased appetite — Feeling: Poor · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

   Free text: No appetite

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-04-10
   Survey response — days 1–6 daily, dose 1

   MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

   Free text: Im feeling better. But have had soreness in the injection site longer than any flu shot I have ever had. For over 20+years

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

   MedDRA: Feeling hot, Skin burning sensation — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

   Free text: My skin feel like it is burning again. Not the tigley too! Just the warm way warm sensation

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-04-12
   Survey response — days 1–6 daily, dose 1

   MedDRA: Acne, Erythema, Swelling — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

   Free text: I had a spot that was swollen and now I have a dime size red pimple and another on I can feel when I sit down. Both isolated. Not a rash

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-04-13
    Survey response — day 7, dose 1

    MedDRA: Office visit — Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional

    Free text: Specialty in person doctor appointment

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-04-13
    Report sent to call center — day 7, dose 1

    Get care from a doctor or other healthcare professional

    1 call case(s)
12. 2021-04-21
    Survey response — day 14, dose 1

    MedDRA: Balance disorder, Erythema, Fall, Gait disturbance, Peripheral swelling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

    Free text: I may have had a clot. I dont know. I had a swollen part on my leg and now Ive had this ugly red bump on the skin like I have never seen before. I had one day when my balance was way off and I was really unsteady. I fell a few times and injured my f

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
13. 2021-04-21
    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)
14. 2021-04-27
    Survey response — day 21, dose 1

    MedDRA: Malaise — Feeling: Poor · Be unable to do your normal daily activities

    Free text: Ive had this bump on my leg on the surface for weeks. I just feel ill. Like Im toxic inside.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
15. 2021-05-04
    Dose 2 — Moderna
16. 2021-05-04
    Survey response — day 0, dose 2

    MedDRA: Injection site warmth — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

    Free text: My arm where the injection was done. Left always. Seem to be really warm. The injection site at this time it is relatively minor.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
17. 2021-05-06
    Survey response — days 1–6 daily, dose 2

    MedDRA: Dizziness, Feeling of body temperature change, Myalgia — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

    Free text: Severe hot and cold. Muscle pains like I have never had. Feeling faint at times.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
18. 2021-05-10
    Survey response — days 1–6 daily, dose 2

    MedDRA: Feeling of body temperature change, Malaise, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

    Free text: Overall dont feel well. I had extreme pain. Im hot and cold throughout the day and night.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
19. 2021-05-13
    Survey response — day 7, dose 2

    MedDRA: Haemorrhage — Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

    Free text: Bleeding. Not sure if its from down there. Woke up with blood spots where I sleep and it the bathroom I had blood drips in the bowl

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
20. 2021-05-18
    Survey response — day 14, dose 2

    MedDRA: Cognitive disorder, Crying, Depression, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Depression. I still have muscle aches but somewhat of impairment of cognitive function and abilities. Ive cried more lately then in the last 20 years.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
21. 2021-05-25
    Health check-in — day 21, dose 2

    Feeling: Fair

    Adult check-in
22. 2021-06-01
    Survey response — day 28, dose 2

    MedDRA: Blood glucose abnormal — Feeling: Poor · Be unable to do your normal daily activities

    Free text: Glucose levels were better under control. Now they are not. Maybe other istigating circumstances.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
23. 2021-06-08
    Survey response — day 35, dose 2

    MedDRA: Infection, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

    Free text: I have an infection that wont heal!. Two is a matter of fact. I finally started to feed more normal. Yet Im having memory and healing problems.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
24. 2021-06-16
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
25. 2021-08-07
    Survey response — 3 months, dose 2

    MedDRA: Allergy to arthropod sting, Anger, Anxiety, Mental impairment, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

    Free text: More anxiety and cloudy thinking sometimes. Outbursts of anger. I just got bit by a wasp and had a horrible allergies reaction. Never had that before. Slight fever

    MedDRA releases: 2021-09,2024-11 · check-in free text available
26. 2021-08-07
    Report sent to call center — 3 months, dose 2

    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

    1 call case(s)
27. 2021-08-19
    Call 1 — Could Not Reach Participant
28. 2021-08-24
    Call 2 — Could Not Reach Participant
29. 2021-11-02
    Survey response — 6 months, dose 2

    MedDRA: Asthenia, Body temperature fluctuation, Feeling cold, Feeling hot, Memory impairment, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Seems I have temperature fluctuations. Freezing, and sometimes really hot. Im having a little trouble between long term mempry and short term memory. I was always really sharp on that. My sleep and energy level changes drastically

    MedDRA releases: 2024-11 · check-in free text available
30. 2021-11-30
    Dose 3 — Moderna
31. 2021-12-09
    Survey response — day 7, dose 3

    MedDRA: Injection site warmth, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

    Free text: Systemic reaction (other): A very warm sensation from the injection site · Healthcare visit (other): They thought I was going to die. Came and broke in my house

    MedDRA releases: 2024-11 · check-in free text available
32. 2021-12-09
    Report sent to call center — day 7, dose 3

    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)
33. 2021-12-13
    Call 1 — Could Not Reach Participant
34. 2021-12-13
    Call successful

    Completed over the phone
35. 2021-12-15
    Survey response — day 14, dose 3

    MedDRA: Blood pressure increased, Burning sensation, Emergency care, Muscle twitching, Oxygen saturation decreased, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional

    Free text: Symptoms: Left burning sensation under my left arm. Uncontrollable twitching in a small part of my leg, heart palpitations. 02 Level tanked. Blood pressure skyrocketed. Resting now. Missed an important drs. Appointment today. Which I have to pay for. Stable no · Healthcare visit (other): In person. Emergency personnel were called. I didn't go

    MedDRA releases: 2024-11 · check-in free text available
36. 2021-12-15
    Report sent to call center — day 14, dose 3

    Get care from a doctor or other healthcare professional

    1 call case(s)
37. 2021-12-16
    Callback requested for
38. 2021-12-16
    Call successful

    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
39. 2021-12-21
    Survey response — day 21, dose 3

    MedDRA: Abdominal pain upper, Anxiety, Blood pressure increased, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Symptoms: Stomach ache. Blood pressure is still elevated. Ive eaten twice today. Both times I have a moderate stomach ache. Anxiety is elevated. Moderatetly. · Healthcare visit (other): Another more full exam on the 23rd

    MedDRA releases: 2024-11 · check-in free text available
40. 2021-12-21
    Report sent to call center — day 21, dose 3

    Get care from a doctor or other healthcare professional

    Outpatient clinic or urgent care clinic visit · 1 call case(s)
41. 2021-12-23
    Call successful

    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
42. 2021-12-31
    Survey response — day 28, dose 3

    MedDRA: Animal bite, Feeling hot, Ligament sprain, Pruritus — Feeling: Good

    Free text: Actually a dog bite and a sprained ankle. Not related. Itchy skin. Never had that before. Feels like me skin is warm on my face. Total sensation. Itchy on my back frequently. Like right now

    MedDRA releases: 2024-11 · check-in free text available
43. 2022-01-05
    Survey response — day 35, dose 3

    MedDRA: Hypertension, Medical counselling, Oxygen saturation decreased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Symptoms: I had a few times where O2 low and blood pressure went was high. Ambulance was sent over, stable enough to stay home. After all the other symptoms I seem to now have high blood pressure. Always was 120/60. Now 145/85 or higher. Mostly higher 160/90 · Healthcare visit (other): Nurse line call in the evening

    MedDRA releases: 2024-11 · check-in free text available
44. 2022-01-05
    Report sent to call center — day 35, dose 3

    Get care from a doctor or other healthcare professional

    Outpatient clinic or urgent care clinic visit · 1 call case(s)
45. 2022-01-06
    Call 1 — Could Not Reach Participant
46. 2022-01-11
    Call successful

    Does not wish to fill out VAERS report
47. 2022-01-12
    Survey response — day 42, dose 3

    MedDRA: Cardiac disorder, Fluid retention, Hypertension, Weight increased — Feeling: Poor · 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: Water weight gain and cardiac problems that continue. I now all the sudden have high bllod pressure and water weight gain. In a matter of days I have gained 12 lbs of water. I scheduled another appointment was my primary care on Wednesday appt

    MedDRA releases: 2024-11 · check-in free text available
48. 2022-01-12
    Report sent to call center — day 42, dose 3

    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

    Outpatient clinic or urgent care clinic visit · 1 call case(s)
49. 2022-03-04
    Survey response — 3 months, dose 3

    MedDRA: Blood pressure increased — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Seem to have high blood pressure readings pretty consistently. Thought it was temporary but still continues to check high. After I had the booster! I have no idea what else could have changed it in such a short time. Seriously is concerning me.

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