4PF-26935-33969

Timeline

1. 2021-02-17
   Dose 1 — Moderna
2. 2021-03-17
   Registered in v-safe
3. 2021-03-17
   Dose 2 — Moderna
4. 2021-03-17
   Survey response — day 0, dose 2

   MedDRA: Dizziness, Emergency care, Immediate post-injection reaction, Impaired driving ability, Self-medication, Throat tightness, Tongue disorder, Tremor — Feeling: Poor · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

   Free text: Systemic reaction (other): Within 20 minutes after second shot I had to pull off interstate and call an ambulance because I became very light headed, dizzy, leg muscles shaky. Unable to drive safely. Throat and tongue thick · Healthcare visit (other): Called ambulance. Did not go to ER because I cant afford it. My daughter came and got me. Took Benadryl

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-03-17
   Report sent to call center — day 0, 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)
6. 2021-03-18
   Health check-in — days 1–6 daily, dose 2

   Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

   Adult check-in
7. 2021-03-19
   Survey response — days 1–6 daily, dose 2

   MedDRA: Cold sweat — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

   Free text: Cold sweats for 12 hours

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-03-20
   Health check-in — days 1–6 daily, dose 2

   Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

   Adult check-in
9. 2021-03-21
   Survey response — days 1–6 daily, dose 2

   MedDRA: Dizziness — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

   Free text: Dizzy

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-03-22
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Headache

    Adult check-in
11. 2021-03-23
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
12. 2021-03-24
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
13. 2021-09-18
    Survey response — 6 months, dose 2

    MedDRA: Diarrhoea, Headache, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Headaches every day for at least 2 months.Diarrhea, explosive or just loose, everyday for at least 2 months. Covid tests come back negative.

    MedDRA releases: 2024-11 · check-in free text available
14. 2021-09-18
    Report sent to call center — 6 months, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
15. 2021-09-20
    Call successful

    Participant prefers to complete VAERS report online
16. 2022-03-17
    Survey response — 12 months, dose 2

    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Covid positive 2/28

    MedDRA releases: 2024-11 · check-in free text available
17. 2022-03-17
    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

    Outpatient clinic or urgent care clinic visit · 1 call case(s)
18. 2022-03-18
    Call 1 — Left Voicemail