4NS-21632-05712

Timeline

1. 2021-01-18
   Dose 1 — Moderna
2. 2021-01-19
   Registered in v-safe
3. 2021-01-19
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea

   Adult check-in
4. 2021-01-22
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness

   Adult check-in
5. 2021-01-23
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · Headache, Diarrhea

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

   Feeling: Good · None

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

   Feeling: Good · None

   Adult check-in
8. 2021-02-01
   Health check-in — day 14, dose 1

   Feeling: Fair

   Adult check-in
9. 2021-02-08
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
10. 2021-04-21
    Health check-in — 3 months, dose 1

    Feeling: Good

    Adult check-in
11. 2022-01-18
    Survey response — 12 months, dose 1

    MedDRA: Ageusia, Anosmia, COVID-19, Office visit — 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 · Telehealth, virtual health, or email health consultation

    Free text: Symptoms: I have Covid. With all the symptoms including no taste or smell · Healthcare visit (other): Went to the clinic

    MedDRA releases: 2024-11 · check-in free text available
12. 2022-01-18
    Report sent to call center — 12 months, dose 1

    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)
13. 2022-01-19
    Call successful

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