3G7-17718-41636

Timeline

1. 2021-03-19
   Registered in v-safe
2. 2021-03-19
   Dose 1 — Moderna
3. 2021-03-19
   Survey response — day 0, dose 1

   MedDRA: Dizziness — Feeling: Good · Site: Pain · Be unable to work

   Free text: Dizziness

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-03-20
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work

   Adult check-in
5. 2021-03-21
   Health check-in — days 1–6 daily, dose 1

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

   Adult check-in
6. 2021-03-22
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-03-23
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-03-24
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
9. 2021-03-25
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
10. 2021-03-26
    Health check-in — day 7, dose 1

    Feeling: Good · None

    Adult check-in
11. 2021-04-02
    Health check-in — day 14, dose 1

    Feeling: Good

    Adult check-in
12. 2021-04-09
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
13. 2021-04-14
    Dose 2 — Moderna
14. 2021-04-14
    Health check-in — day 0, dose 2

    Feeling: Good · None

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

    MedDRA: Emergency care, Loss of consciousness, Ocular hyperaemia — Feeling: Poor · Site: Pain, Swelling · Headache, Nausea, Diarrhea, Abdominal pain · Be unable to work

    Free text: Blood shot in left eye. Passed out 3 hours ago. Now at the emergency room

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
16. 2021-04-16
    Survey response — days 1–6 daily, dose 2

    MedDRA: Asthenia — Feeling: Fair · Site: Pain, Swelling · Headache, Nausea · Be unable to work, Be unable to do your normal daily activities

    Free text: Weakness

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

    Feeling: Good · Site: Pain · None

    Adult check-in
18. 2021-04-18
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
19. 2021-04-19
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
20. 2021-04-21
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
21. 2021-04-28
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
22. 2021-05-06
    Survey response — day 21, dose 2

    MedDRA: Loss of consciousness, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

    Free text: Symptoms: I passed out the day after I took the vaccine ever since I have not been able to walk straight at all times without feeling like I'm going to fall. I stumble a lot especially after wKing up in the mornings. · Healthcare visit (other): I have an upcoming in person appointment with my primary care physician to discuss those iss3

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
23. 2021-05-06
    Report sent to call center — day 21, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
24. 2021-05-16
    Survey response — day 28, dose 2

    MedDRA: Balance disorder, Dizziness, Headache — Feeling: Poor · Be unable to do your normal daily activities

    Free text: Headaches,dizziness,off balance.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
25. 2021-05-19
    Survey response — day 35, dose 2

    MedDRA: Asthenia, Balance disorder, Dizziness — Feeling: Fair · 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: Weakness, dizziness, off balance

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
26. 2021-05-19
    Report sent to call center — day 35, dose 2

    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)
27. 2021-05-28
    Survey response — day 42, dose 2

    MedDRA: Asthenia, Balance disorder, Dizziness — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Weakness, dizziness, off balance

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
28. 2022-04-14
    Health check-in — 12 months, dose 2

    Feeling: Good

    Adult check-in
29. 2022-04-15
    Call successful

    Does not wish to fill out VAERS report