4UV-28877-09663

Timeline

1. 2021-01-13
   Dose 1 — Moderna
2. 2021-01-14
   Registered in v-safe
3. 2021-01-14
   Survey response — days 1–6 daily, dose 1

   MedDRA: Dysphonia — Feeling: Fair

   Free text: Mild Deepening of voice (not lost but an octave lower) not a sore throat tho

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-01-15
   Survey response — days 1–6 daily, dose 1

   MedDRA: Insomnia — Feeling: Good

   Free text: No more hoarse throat/voice but had difficulty sleeping

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-01-16
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
6. 2021-01-17
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-01-18
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-01-20
   Health check-in — day 7, dose 1

   Feeling: Good · None

   Adult check-in
9. 2021-01-29
   Survey response — day 14, dose 1

   MedDRA: Diarrhoea, Insomnia — Feeling: Good · Be unable to do your normal daily activities

   Free text: Diarrhea on Mon into Tues morning 1/26/21. Not sure if it was due to starting iron supplement, seafood the evening before or lagging from vaccine. He has had no other symptom before/after. Not able to sleep while symptoms were present

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-02-03
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
11. 2021-02-12
    Health check-in — day 28, dose 1

    Feeling: Good

    Adult check-in
12. 2021-02-17
    Health check-in — day 35, dose 1

    Feeling: Good

    Adult check-in
13. 2021-02-19
    Dose 2 — Moderna
14. 2021-02-24
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
15. 2021-02-26
    Survey response — day 7, dose 2

    MedDRA: Asthenia, Mobility decreased, Muscular weakness, Weight bearing difficulty — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

    Free text: Legs were very weak, not able to move/support weight to stand early this morning, slid to floor after bathroom trip at 4am, could not get back into bed without assistance. Legs mobility/some strength returned by around 4pm, still not back to normal strength

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
16. 2021-03-05
    Survey response — day 14, dose 2

    MedDRA: Cerebrovascular accident, Hospitalisation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

    Free text: Symptoms: Stroke, in hospital since Monday. Discharging to acute rehab hopefully today. · Healthcare visit (other): Went to ER, admitted for observation/treatment

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
17. 2021-03-05
    Report sent to call center — day 14, dose 2

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

    1 call case(s)
18. 2021-03-12
    Survey response — day 21, dose 2

    MedDRA: Diarrhoea — Feeling: Fair

    Free text: Diarrhea last night.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
19. 2021-03-19
    Health check-in — day 28, dose 2

    Feeling: Fair

    Adult check-in
20. 2021-03-28
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
21. 2021-04-02
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
22. 2021-05-21
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
23. 2021-12-04
    Call successful

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