4T4-36113-52533

Timeline

1. 2021-03-17
   Registered in v-safe
2. 2021-03-17
   Dose 1 — Moderna
3. 2021-03-17
   Health check-in — day 0, dose 1

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

   Adult check-in
4. 2021-03-18
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

   Adult check-in
5. 2021-03-19
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · Headache

   Adult check-in
6. 2021-03-20
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-03-21
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-03-22
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
9. 2021-03-23
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
10. 2021-03-24
    Health check-in — day 7, dose 1

    Feeling: Good · None

    Adult check-in
11. 2021-03-31
    Health check-in — day 14, dose 1

    Feeling: Good

    Adult check-in
12. 2021-04-07
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
13. 2021-04-14
    Dose 2 — Moderna
14. 2021-04-14
    Health check-in — day 0, dose 2

    Feeling: Good · Site: Pain · None

    Adult check-in
15. 2021-04-15
    Survey response — days 1–6 daily, dose 2

    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

    Free text: Dizziness

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

    Feeling: Good · Site: Pain, Itching · None

    Adult check-in
17. 2021-04-17
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Itching · None

    Adult check-in
18. 2021-04-19
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
19. 2021-04-20
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
20. 2021-04-21
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
21. 2021-04-28
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
22. 2021-05-05
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
23. 2021-05-12
    Health check-in — day 28, dose 2

    Feeling: Good

    Adult check-in
24. 2021-05-19
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
25. 2021-05-26
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
26. 2021-07-14
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
27. 2021-10-13
    Health check-in — 6 months, dose 2

    Feeling: Good

    Adult check-in
28. 2022-04-14
    Survey response — 12 months, dose 2

    MedDRA: Urticaria — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

    Free text: Several bouts of hives all over my body

    MedDRA releases: 2024-11 · check-in free text available
29. 2022-04-14
    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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
30. 2022-04-20
    Call successful

    Participant prefers to complete VAERS report online