4A9-15610-56142

Timeline

1. 2021-02-25
   Registered in v-safe
2. 2021-02-25
   Dose 1 — Moderna
3. 2021-02-25
   Health check-in — day 0, dose 1

   Feeling: Good · None

   Adult check-in
4. 2021-02-27
   Survey response — days 1–6 daily, dose 1

   MedDRA: Chills — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains · Be unable to do your normal daily activities

   Free text: Shivering

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-02-28
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain, Swelling · None

   Adult check-in
6. 2021-03-02
   Survey response — days 1–6 daily, dose 1

   MedDRA: Arthralgia — Feeling: Good · Joint pains

   Free text: The joint pain I experienced this morning and yesterday morning was primarily in my ankles.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-03-05
   Health check-in — day 7, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-03-11
   Health check-in — day 14, dose 1

   Feeling: Good

   Adult check-in
9. 2021-03-18
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
10. 2021-03-25
    Dose 2 — Moderna
11. 2021-04-01
    Survey response — day 7, dose 2

    MedDRA: Memory impairment — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

    Free text: I have been experiencing memory recall issues. I work in a detail-heavy occupation and I am struggling more than I should.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-04-08
    Health check-in — day 14, dose 2

    Feeling: Fair

    Adult check-in
13. 2021-04-15
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
14. 2021-04-22
    Health check-in — day 28, dose 2

    Feeling: Good

    Adult check-in
15. 2021-04-29
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
16. 2021-05-06
    Survey response — day 42, dose 2

    MedDRA: Depression, Fatigue — Feeling: Good · Be unable to work, Be unable to do your normal daily activities

    Free text: Excessively tired and depressed

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
17. 2021-06-24
    Survey response — 3 months, dose 2

    MedDRA: Myocardial infarction, Surgery, Vascular graft — Feeling: Poor · 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: Symptoms: On June 12th, I had a widow maker heart attack. On June 15th I had triple bypass surgery. · Healthcare visit (other): Cardiac surgery

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
18. 2021-06-24
    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)
19. 2021-07-01
    Call successful

    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
20. 2021-09-25
    Survey response — 6 months, dose 2

    MedDRA: Chest pain, Dyspnoea, Emergency care, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

    Free text: Chest pain/ache. Shortness of breadth. Went to hospital emergency for an EKG and blood test.

    MedDRA releases: 2024-11 · check-in free text available
21. 2021-09-25
    Report sent to call center — 6 months, dose 2

    Get care from a doctor or other healthcare professional

    Emergency room or emergency department visit · 1 call case(s)
22. 2021-09-28
    Call 1 — Left Voicemail