3Q6-17807-56113

Timeline

1. 2021-02-10
   Dose 1 — Moderna
2. 2021-03-10
   Dose 2 — Moderna
3. 2021-03-13
   Registered in v-safe
4. 2021-03-13
   Health check-in — days 1–6 daily, dose 2

   Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

   Adult check-in
5. 2021-03-14
   Survey response — days 1–6 daily, dose 2

   MedDRA: Dehydration, Diarrhoea, Vomiting — Feeling: Poor · Site: Redness, Swelling, Itching · Chills, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

   Free text: dehydration possibly related to Crohns.. diarrhea and vomiting

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-03-14
   Report sent to call center — days 1–6 daily, dose 2

   Get care from a doctor or other healthcare professional

   1 call case(s)
7. 2021-03-15
   Survey response — days 1–6 daily, dose 2

   MedDRA: Crohn's disease, Pre-existing disease — Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

   Free text: I have Crohns Disease.. some problems are partially related to Crohns

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-03-16
   Survey response — days 1–6 daily, dose 2

   MedDRA: Erythema — Feeling: Fair · Site: Redness, Itching

   Free text: same red area.. not getting smaller or less color

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-03-17
   Health check-in — day 7, dose 2

   Feeling: Good · Site: Redness, Swelling, Itching · Chills

   Adult check-in
10. 2021-03-24
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
11. 2021-03-31
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
12. 2021-04-09
    Survey response — day 28, dose 2

    MedDRA: Chills, Diarrhoea — Feeling: Fair

    Free text: chills, diarrhea

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
13. 2021-04-16
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
14. 2021-04-21
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
15. 2021-06-09
    Survey response — 3 months, dose 2

    MedDRA: Cough, Crohn's disease, Pre-existing disease, Sleep disorder, Tinnitus — Feeling: Poor · Get care from a doctor or other healthcare professional

    Free text: Symptoms: Tinnitus is so loud no that I cant sleep. I have a hacking cough · Healthcare visit (other): I have an appointment with my Dr for this Friday to talk with him about these two problems and my Crohns flares

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
16. 2021-06-09
    Report sent to call center — 3 months, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
17. 2021-06-21
    Call successful

    Does not wish to fill out VAERS report
18. 2021-09-08
    Survey response — 6 months, dose 2

    MedDRA: Emotional distress, Heart rate decreased, Office visit, Pre-existing disease, Stress — Feeling: Good · Get care from a doctor or other healthcare professional

    Free text: Symptoms: Heart rate very low.. I think its because of being emotionally upset.. My don had a heart attack and my sisters husband had a heart attack and died.. a lot of stress.. that and my Crohns disease. Am seeing a cardiologist on Tuesday next week · Healthcare visit (other): Saw my regular Dr

    MedDRA releases: 2024-11 · check-in free text available
19. 2021-09-08
    Report sent to call center — 6 months, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
20. 2021-09-09
    Call 1 — Left Voicemail