353-50262-94524

Timeline

1. 2021-03-13
   Dose 1 — Moderna
2. 2021-04-10
   Dose 2 — Moderna
3. 2021-04-11
   Registered in v-safe
4. 2021-04-11
   Survey response — days 1–6 daily, dose 2

   MedDRA: Dizziness, Sleep disorder — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

   Free text: sleep disturbance, dizziness...some of above MAY be unrelated to vaccine

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-04-12
   Health check-in — days 1–6 daily, dose 2

   Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

   Adult check-in
6. 2021-04-13
   Health check-in — days 1–6 daily, dose 2

   Feeling: Good · Headache, Fatigue or tiredness

   Adult check-in
7. 2021-04-14
   Survey response — days 1–6 daily, dose 2

   MedDRA: Decreased appetite — Feeling: Good · Fatigue or tiredness

   Free text: it seems appetite is reduced, perhaps unrelated?

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-04-15
   Health check-in — days 1–6 daily, dose 2

   Feeling: Good · Fatigue or tiredness

   Adult check-in
9. 2021-04-16
   Health check-in — days 1–6 daily, dose 2

   Feeling: Good · None

   Adult check-in
10. 2021-04-18
    Survey response — day 7, dose 2

    MedDRA: Arthralgia — Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

    Free text: joint pain unrelated to vaccine as far as I know

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-04-24
    Health check-in — day 14, dose 2

    Feeling: Fair

    Adult check-in
12. 2021-05-01
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
13. 2021-05-08
    Survey response — day 28, dose 2

    MedDRA: Fatigue, Migraine, Oxygen saturation decreased — Feeling: Good · Be unable to do your normal daily activities

    Free text: Three days migraines Mon- Wed. Unsure if related. Then O2 dipping to 92, 90 for brief times Thursday. Fatigue today.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-05-15
    Health check-in — day 35, dose 2

    Feeling: Fair

    Adult check-in
15. 2021-05-22
    Survey response — day 42, dose 2

    MedDRA: Fatigue, Loss of personal independence in daily activities, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Somewhat worse pain levels, cyclical variation. Some fatigue persists but unsure if from vaccine, covid-19 or general pain levels. Missing some daily activity.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
16. 2021-07-10
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
17. 2021-10-12
    Health check-in — 6 months, dose 2

    Feeling: Good

    Adult check-in
18. 2022-04-10
    Survey response — 12 months, dose 2

    MedDRA: Balance disorder, Concussion, Fall, Fracture, Gastroenteritis viral, Surgery — Feeling: Good · Be unable to work or attend school, 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: Symptoms: Slip and fall resulting in fracture and concussion followed by surgery, also stomach bug. · Healthcare visit (other): surgery

    MedDRA releases: 2024-11 · check-in free text available
19. 2022-04-10
    Report sent to call center — 12 months, dose 2

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

    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
20. 2022-04-13
    Call successful

    Not applicable - Accidental Reporting