3J3-64688-54165

Timeline

1. 2021-02-16
   Dose 1 — Moderna
2. 2021-02-28
   Registered in v-safe
3. 2021-02-28
   Survey response — day 7, dose 1

   MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Redness

   Free text: One side sore throat

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-03-02
   Health check-in — day 14, dose 1

   Feeling: Good

   Adult check-in
5. 2021-03-09
   Survey response — day 21, dose 1

   MedDRA: Body temperature increased, Erythema, Rash — Feeling: Good

   Free text: After a.m. check in arm was splotchy red, wrlty, and had temp, bit then after 2 hours disappearsd and nothing else since then.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-03-16
   Dose 2 — Moderna
7. 2021-03-16
   Health check-in — day 0, dose 2

   Feeling: Good · Site: Pain · None

   Adult check-in
8. 2021-03-17
   Survey response — days 1–6 daily, dose 2

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

   Free text: Last night after work chills, turned up heat and used blanket. Very fatigued this a.m. slept in and started my activities later- luckily was my day off..

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-03-18
   Health check-in — days 1–6 daily, dose 2

   Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Fatigue or tiredness

   Adult check-in
10. 2021-03-19
    Survey response — days 1–6 daily, dose 2

    MedDRA: Fatigue, Pyrexia — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

    Free text: Temp finally back to normal tonight and fatigue disappeared halfway through the day

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-03-20
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Redness · None

    Adult check-in
12. 2021-03-21
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Redness, Itching · None

    Adult check-in
13. 2021-03-23
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
14. 2021-03-30
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
15. 2021-04-06
    Survey response — day 21, dose 2

    MedDRA: Feeling hot — Feeling: Good

    Free text: Slightly warmer, but now back to normal.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
16. 2021-04-13
    Health check-in — day 28, dose 2

    Feeling: Good

    Adult check-in
17. 2021-04-20
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
18. 2021-04-27
    Survey response — day 42, dose 2

    MedDRA: Blood pressure increased, Headache, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

    Free text: Symptoms: Blood pressure has increased in past month or so. today had left side headache. I don't get them ever usually. · Healthcare visit (other): Will be making appointment.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
19. 2021-04-27
    Report sent to call center — day 42, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
20. 2021-06-17
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
21. 2021-09-14
    Survey response — 6 months, dose 2

    MedDRA: Type 1 diabetes mellitus, Unevaluable event — Feeling: Fair · 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: New onset of type 1 diabetes · Healthcare visit (other): Diagnosed end of July, unsure why now just decided to start showing up. Not necessarily vaccine. Just occurred after though.

    MedDRA releases: 2024-11 · check-in free text available
22. 2021-09-14
    Report sent to call center — 6 months, dose 2

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

    1 call case(s)
23. 2021-09-16
    Call 1 — Left Voicemail
24. 2021-09-20
    Call 2 — Left Voicemail
25. 2022-03-16
    Survey response — 12 months, dose 2

    MedDRA: Hospitalisation, Ketoacidosis, Latent autoimmune diabetes in adults — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

    Free text: My new onset health condition is type 1.5 diabetes, latent autoimmune diabetes in adults. Was hospitalized in october for about 1 week for ketoacidosis before started insulin.

    MedDRA releases: 2024-11 · check-in free text available
26. 2022-03-16
    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

    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
27. 2022-03-17
    Call successful

    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)