4CZ-49177-10472

Timeline

1. 2021-02-11
   Registered in v-safe
2. 2021-02-11
   Dose 1 — Moderna
3. 2021-02-11
   Health check-in — day 0, dose 1

   Feeling: Good · Site: Pain · Fatigue or tiredness

   Adult check-in
4. 2021-02-12
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · None

   Adult check-in
5. 2021-02-13
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · Headache

   Adult check-in
6. 2021-02-14
   Survey response — days 1–6 daily, dose 1

   MedDRA: Injection site pain — Feeling: Good · Site: Pain

   Free text: Injection site pain continues to diminish.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-02-15
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-02-16
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
9. 2021-02-17
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
10. 2021-02-18
    Health check-in — day 7, dose 1

    Feeling: Good · None

    Adult check-in
11. 2021-02-25
    Health check-in — day 14, dose 1

    Feeling: Good

    Adult check-in
12. 2021-03-04
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
13. 2021-03-11
    Health check-in — day 28, dose 1

    Feeling: Good

    Adult check-in
14. 2021-03-15
    Dose 2 — Moderna
15. 2021-03-15
    Survey response — day 0, dose 2

    MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

    Free text: Slightly accelerated heart rate. 78 instead of typical 68.

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

    MedDRA: Chills, Insomnia, Tremor — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness

    Free text: Had significant uncontrollable shaking from chills 12 hours after receiving 2nd vaccine shot. More PJs and 2 layers of my best wool blanket took care of the problem. Tough night sleeping too. Woke up 8-12 times.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
17. 2021-03-17
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Pain · Headache

    Adult check-in
18. 2021-03-18
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

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

    MedDRA: Arthralgia — Feeling: Good · Joint pains

    Free text: Joint pain continues only in some left knuckles.

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

    Feeling: Good · None

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

    Feeling: Good · None

    Adult check-in
22. 2021-03-22
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
23. 2021-03-29
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
24. 2021-04-05
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
25. 2021-04-12
    Survey response — day 28, dose 2

    MedDRA: Arthralgia — Feeling: Good

    Free text: Some moderate joint pain which I have not reported previously. Left-hand, base knuckles of smallest two fingers all along. Left shoulder started roughly a week after 2nd Moderna shot. I do not know if is related to the vaccine but suspect so.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
26. 2021-04-19
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
27. 2021-04-26
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
28. 2021-06-14
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
29. 2021-09-13
    Health check-in — 6 months, dose 2

    Feeling: Good

    Adult check-in
30. 2022-03-15
    Survey response — 12 months, dose 2

    MedDRA: COVID-19 — 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

    Free text: Mild COVID-19

    MedDRA releases: 2024-11 · check-in free text available
31. 2022-03-15
    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 · 1 call case(s)
32. 2022-03-18
    Call 1 — Left Voicemail
33. 2022-03-18
    Call successful

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