4U3-21829-23997

Timeline

1. 2020-12-23
   Dose 1 — Moderna
2. 2020-12-28
   Registered in v-safe
3. 2020-12-28
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

   Adult check-in
4. 2020-12-29
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Headache, Fatigue or tiredness

   Adult check-in
5. 2020-12-30
   Health check-in — day 7, dose 1

   Feeling: Fair · Headache, Muscle or body aches

   Adult check-in
6. 2021-01-06
   Survey response — day 14, dose 1

   MedDRA: Paraesthesia — Feeling: Good

   Free text: New symptom: tingling sensation on my arm where I received my vaccine.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-01-13
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
8. 2021-01-21
   Dose 2 — Moderna
9. 2021-01-21
   Survey response — day 28, dose 1

   MedDRA: Chillblains, Fatigue, Headache, Myalgia, Pain — Feeling: Fair · Be unable to do your normal daily activities

   Free text: Fatigue, body aches/muscles ache and a very strong headache. I have had all symptoms above plus chills since day 2 of having the vaccine, some days they were worse than others, today the symptoms are less intense.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-01-27
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

    Adult check-in
11. 2021-01-28
    Health check-in — day 7, dose 2

    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

    Adult check-in
12. 2021-02-05
    Survey response — day 14, dose 2

    MedDRA: Headache — Feeling: Poor · Be unable to work

    Free text: Severe Headaches!!

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
13. 2021-02-11
    Survey response — day 21, dose 2

    MedDRA: Chills, Headache, Nausea, Pain — Feeling: Good · Be unable to work

    Free text: Since my last check-in I am feeling a lot better, I started to feel better yesterday 2/10/21, but prior to that I was experiencing severe headaches every day, some nausea, lots of chills and some body aches.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-02-18
    Survey response — day 28, dose 2

    MedDRA: Chills, Headache, Hyperhidrosis, Pain, Pyrexia, SARS-CoV-2 test negative, Self-medication — Feeling: Poor · Be unable to work

    Free text: Severe HEADACHES, mild body aches, severe CHILLS and SWEATS!! Today I am running a low grade fever of 100.9F, this was measured one hour after I took 1,000 mg of Tylenol. I was also tested for COVID-19 yesterday 2/17/21 and my results came back negat

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
15. 2021-02-25
    Survey response — day 35, dose 2

    MedDRA: Back pain, Chills, Headache, Hyperhidrosis, Pain, Sinusitis — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Ongoing severe headaches, chills, sweats, mild body aches and lower back pain!! My doctor thought I might have a sinus infection but I am on my second set of antibiotics which isnt really helping me.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
16. 2021-02-25
    Report sent to call center — day 35, dose 2

    Be unable to work · Get care from a doctor or other healthcare professional

    1 call case(s)
17. 2021-03-06
    Survey response — day 42, dose 2

    MedDRA: Chills, Headache, Hyperhidrosis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Bad headaches, bad chills, and sweats

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
18. 2021-03-06
    Report sent to call center — day 42, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
19. 2021-04-22
    Survey response — 3 months, dose 2

    MedDRA: Headache — Feeling: Poor · 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: Severe headaches

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
20. 2021-04-22
    Report sent to call center — 3 months, dose 2

    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

    1 call case(s)
21. 2021-07-24
    Health check-in — 6 months, dose 2

    Feeling: Fair

    Adult check-in
22. 2021-09-15
    Call 1 — Left Voicemail
23. 2022-01-21
    Survey response — 12 months, dose 2

    MedDRA: Headache, Unevaluable event — Feeling: Good · 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

    Free text: Symptoms: DAILY HEADACHES!!! · Healthcare visit (other): CT SCANS

    MedDRA releases: 2024-11 · check-in free text available
24. 2022-01-21
    Report sent to call center — 12 months, dose 2

    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 · 1 call case(s)
25. 2022-01-24
    Call successful

    Does not wish to fill out VAERS report