3BT-29665-55517

Timeline

1. 2021-03-13
   Registered in v-safe
2. 2021-03-13
   Dose 1 — Moderna
3. 2021-03-13
   Survey response — day 0, dose 1

   MedDRA: Dry eye, Lacrimation increased — Feeling: Good · Site: Pain, Swelling

   Free text: Watery mouth and shortly after eyes were watery considering I have dry eyes

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-03-14
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · Site: Pain · Fatigue or tiredness

   Adult check-in
5. 2021-03-15
   Survey response — days 1–6 daily, dose 1

   MedDRA: Salivary hypersecretion — Feeling: Good · Site: Itching

   Free text: Producing more saliva

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-03-16
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Headache, Fatigue or tiredness

   Adult check-in
7. 2021-03-18
   Survey response — days 1–6 daily, dose 1

   MedDRA: Irritability — Feeling: Good

   Free text: Grumpy

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-03-19
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
9. 2021-03-22
   Health check-in — day 7, dose 1

   Feeling: Good · None

   Adult check-in
10. 2021-03-27
    Health check-in — day 14, dose 1

    Feeling: Good

    Adult check-in
11. 2021-04-03
    Health check-in — day 21, dose 1

    Feeling: Fair

    Adult check-in
12. 2021-04-10
    Dose 2 — Moderna
13. 2021-04-10
    Health check-in — day 0, dose 2

    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

    Adult check-in
14. 2021-04-11
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

    Adult check-in
15. 2021-04-12
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Site: Pain · Joint pains

    Adult check-in
16. 2021-04-13
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Pain · None

    Adult check-in
17. 2021-04-14
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Itching · None

    Adult check-in
18. 2021-07-10
    Survey response — 3 months, dose 2

    MedDRA: Pre-existing disease, Rash, Skin burning sensation — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Got skin rash but 1 month after the covid shot I got the MMR shot. Not sure if it was caused by one or the other or a combination. The rash has gone. I have GVHD from a bone Marrow transplant and my skin feels like it has a light rope burn

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
19. 2021-10-09
    Survey response — 6 months, dose 2

    MedDRA: Chest pain, Headache, Pain, Renal pain, Spinal pain — Feeling: Poor · Be unable to work or attend school

    Free text: Strange pains in my chest going along my spine to my kidneys up to my head. Pulsing with every heart beat.

    MedDRA releases: 2024-11 · check-in free text available
20. 2022-04-12
    Survey response — 12 months, dose 2

    MedDRA: Arthralgia, Dyspnoea, Fatigue — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

    Free text: Joint pain shortness of breath tired

    MedDRA releases: 2024-11 · check-in free text available
21. 2022-04-12
    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)
22. 2022-04-14
    Call successful

    Does not wish to fill out VAERS report