3LA-10454-58241

Timeline

1. 2021-02-24
   Dose 1 — Moderna
2. 2021-03-18
   Registered in v-safe
3. 2021-03-18
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
4. 2021-03-24
   Dose 2 — Moderna
5. 2021-03-30
   Survey response — days 1–6 daily, dose 2

   MedDRA: Chest pain, Pain in extremity, Pain in jaw — Feeling: Good

   Free text: About 2 hours after I got the shot I had severe chest pain my left arm and hand hurt plus my left jaw. It felt the same as when I had a heart attack in July 2020 due to a blood clot

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-03-31
   Health check-in — day 7, dose 2

   Feeling: Good · None

   Adult check-in
7. 2021-04-07
   Survey response — day 14, dose 2

   MedDRA: Chills, Diarrhoea, Pyrexia, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

   Free text: Fever, chills,vomiting and diarrhea

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-04-16
   Health check-in — day 21, dose 2

   Feeling: Good

   Adult check-in
9. 2021-04-21
   Health check-in — day 28, dose 2

   Feeling: Good

   Adult check-in
10. 2021-04-28
    Survey response — day 35, dose 2

    MedDRA: Hospitalisation, Thrombosis — 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, Emergency room or emergency department visit, Hospitalization

    Free text: My heart stents filled with blood clots and I am in the hospital currentlyMy stents were 99% cloggef

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-04-28
    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)
12. 2021-05-05
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
13. 2021-06-26
    Survey response — 3 months, dose 2

    MedDRA: Chest pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

    Free text: Chest pain

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-06-26
    Report sent to call center — 3 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

    1 call case(s)
15. 2021-06-28
    Call 1 — Left Voicemail
16. 2021-09-24
    Survey response — 6 months, dose 2

    MedDRA: Cardiac operation, Coronary artery bypass, Peripheral swelling, Pleural effusion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

    Free text: I had open heart surgery on July 5th and a triple bypass. Im still recovering and have had complications of fluid around my lungs drained twice and now swelling of my feet and leg where they removed my vein

    MedDRA releases: 2024-11 · check-in free text available
17. 2021-09-24
    Report sent to call center — 6 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

    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
18. 2021-09-28
    Call 1 — Left Voicemail
19. 2021-09-28
    Call successful

    Participant prefers to complete VAERS report online