3TZ-11103-87615

Timeline

1. 2021-01-18
   Registered in v-safe
2. 2021-01-18
   Dose 1 — Moderna
3. 2021-01-18
   Health check-in — day 0, dose 1

   Feeling: Good · Headache

   Adult check-in
4. 2021-01-19
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · Headache

   Adult check-in
5. 2021-01-21
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

   Adult check-in
6. 2021-01-23
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-01-24
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-01-25
   Health check-in — day 7, dose 1

   Feeling: Good · None

   Adult check-in
9. 2021-02-01
   Health check-in — day 14, dose 1

   Feeling: Good

   Adult check-in
10. 2021-02-08
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
11. 2021-02-15
    Health check-in — day 28, dose 1

    Feeling: Good

    Adult check-in
12. 2021-02-22
    Dose 2 — Moderna
13. 2021-02-25
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
14. 2021-02-26
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Pain · None

    Adult check-in
15. 2021-02-27
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Pain · None

    Adult check-in
16. 2021-02-28
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
17. 2021-03-01
    Survey response — day 7, dose 2

    MedDRA: Arthralgia, Pain — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

    Free text: Joint pain which is quite intense, ie hard to hold a pencil. Shooting pains.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
18. 2021-03-08
    Survey response — day 14, dose 2

    MedDRA: Fatigue, Herpes zoster, Pyrexia, Unevaluable event — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Symptoms: Zoster fatigue low grade fever · Healthcare visit (other): I am awaiting a Covid test to see if I got Covid sometime around when I got my vaccination

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
19. 2021-03-08
    Report sent to call center — day 14, dose 2

    Be unable to work · Get care from a doctor or other healthcare professional

    1 call case(s)
20. 2021-03-15
    Survey response — day 21, dose 2

    MedDRA: Fatigue, Herpes zoster, Pain — Feeling: Poor · Be unable to work

    Free text: 2 weeks of fatigue and aches after 2nd shot and then I got shingles. So now Im dealing with that and taking lots of medications.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
21. 2021-03-22
    Survey response — day 28, dose 2

    MedDRA: Gastroenteritis, Herpes zoster, Malaise — Feeling: Fair · Be unable to work, 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

    Free text: Shingles. Followed by malaise and bad gastroenteritis. If been constantly ill since the 2nd vaccine

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
22. 2021-03-22
    Report sent to call center — day 28, 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)
23. 2021-03-29
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
24. 2021-04-05
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
25. 2021-05-24
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
26. 2021-08-23
    Health check-in — 6 months, dose 2

    Feeling: Good

    Adult check-in
27. 2022-02-22
    Health check-in — 12 months, dose 2

    Feeling: Good

    Adult check-in
28. 2022-02-27
    Call 1 — Left Voicemail
29. 2022-03-01
    Call successful

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