4QY-84998-31559

Timeline

1. 2021-03-16
   Registered in v-safe
2. 2021-03-16
   Dose 1 — Moderna
3. 2021-03-18
   Survey response — days 1–6 daily, dose 1

   MedDRA: Fungal infection — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

   Free text: Lower abdomen, back, and yeast infection

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-03-20
   Survey response — days 1–6 daily, dose 1

   MedDRA: Arthralgia — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

   Free text: Knee, strange pains that I havent had before like stabs.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-03-26
   Health check-in — day 7, dose 1

   Feeling: Fair · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

   Adult check-in
6. 2021-04-06
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
7. 2021-04-15
   Survey response — day 28, dose 1

   MedDRA: Abdominal pain lower, Head discomfort, Headache, Heart rate increased, Inappropriate schedule of product administration, Pulse abnormal — Feeling: Fair

   Free text: Lower abdominal striking pain on the right side that never felt before which is sporadic. Biggest concern is pain headache and pressure in head. Every time I belch I feel about five pulse between ears. Cancelled 2nd today due to work.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-06-16
   Health check-in — 3 months, dose 1

   Feeling: Fair

   Adult check-in
9. 2022-03-18
   Survey response — 12 months, dose 1

   MedDRA: Cardiac disorder, Dizziness, Fall, Headache, Impaired work ability, Nausea, Pain, Pre-existing disease, Sleep disorder, Unevaluable event — 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, Emergency room or emergency department visit, Hospitalization

   Free text: Symptoms: Sore, dizzy at times which I did fall and hit head, headaches that are deep in where I hurt before, sleep is crazy, nausea, and using the restroom quite often where it all affected my job which in result I lost my job a few days ago. · Healthcare visit (other): They wanted to keep me one day which was concerns of my heart but couldn't stay

   MedDRA releases: 2024-11 · check-in free text available
10. 2022-03-18
    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

    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
11. 2022-03-21
    Call successful

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