4WC-25095-91652

Timeline

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

   MedDRA: Cardiac flutter, Palpitations — Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

   Free text: A little flutter like heart palpitations

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-03-18
   Survey response — days 1–6 daily, dose 1

   MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

   Free text: Just a little blue and black bruise

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-03-20
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

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

   Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

   Adult check-in
7. 2021-03-22
   Survey response — days 1–6 daily, dose 1

   MedDRA: Pain, Pain in extremity, Rash — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

   Free text: Just noticed a little small rash around the area still very sore and is very achy to lift my arm

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-03-23
   Survey response — days 1–6 daily, dose 1

   MedDRA: Headache — Feeling: Fair · Site: Pain, Redness · Headache · Be unable to work, Be unable to do your normal daily activities

   Free text: I did not even realize Ive had severe headaches every day I was thinking it might be iron deficiency but Ive had a headache every day since Ive gotten the shot a severe headache I was taking my iron vitamins and still have a major headache

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-03-24
   Survey response — day 7, dose 1

   MedDRA: Headache — Feeling: Fair · Site: Pain, Redness, Itching · Headache · Be unable to work, Be unable to do your normal daily activities

   Free text: Still having severe headaches

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-03-31
    Survey response — day 14, dose 1

    MedDRA: Abdominal pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

    Free text: My abdomen has been hurting really bad every since I got the shot! Is the agonizing pain right around a 10 p!

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-04-07
    Survey response — day 21, dose 1

    MedDRA: Abdominal pain, Headache, Hypersensitivity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

    Free text: Headaches Abdominal pain develop allergies I never had

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-04-14
    Dose 2 — Moderna
13. 2021-04-21
    Health check-in — day 7, dose 2

    Feeling: Poor · Site: Pain, Redness, Swelling · 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
14. 2021-04-28
    Survey response — day 14, dose 2

    MedDRA: Headache, Photophobia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

    Free text: For some reason Im having neurological problems Im having extreme headaches loud sounds are hurting my ears and I havent really left out the house sunlight hurts my eyes. So Ive leaving leaving out during the night time

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
15. 2021-05-05
    Survey response — day 21, dose 2

    MedDRA: Eye pain, Headache, Paraesthesia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

    Free text: Still have a major headaches tingling on my left side feeling like I have some type of sharp pains through my left side behind my eye has been hurting on my left side

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
16. 2021-05-12
    Survey response — day 28, dose 2

    MedDRA: Headache, Pain, Sluggishness — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

    Free text: Ive had a lot of headaches that side pains a lot of changes within my own personal body is feeling sluggish its not just me either my brother-in-law told me hes had several I have the same ailments

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
17. 2021-05-26
    Survey response — day 42, dose 2

    MedDRA: Abdominal discomfort, Cardiac disorder, Dyspepsia, Office visit, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

    Free text: Symptoms: I am having a series belt which sour stomach and its really bad it makes me vomit a lot · Healthcare visit (other): Going to see a cardiologist my heart is been acting up every since I got the covid Moderna shot

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
18. 2021-05-26
    Report sent to call center — day 42, 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)
19. 2021-07-14
    Survey response — 3 months, dose 2

    MedDRA: Extrasystoles, Palpitations — 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

    Free text: Had to go to the cardiologist because my heart has been skipping and having heart palpitations

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
20. 2021-07-14
    Report sent to call center — 3 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

    1 call case(s)
21. 2021-07-22
    Call successful

    Participant prefers to complete VAERS report online
22. 2021-10-13
    Survey response — 6 months, dose 2

    MedDRA: Anxiety, Chest pain, Energy increased, Fatigue, Headache, Impaired work ability, Pain in extremity, Panic reaction, Pre-existing disease — Feeling: Poor · Be unable to work or attend school

    Free text: I haven't been back to work I had severe chest pain severe left arm pain severe headaches burst of energy and then extreme tiredness and fatigue bouts of anxiety and panic attacks more than normal

    MedDRA releases: 2024-11 · check-in free text available
23. 2022-04-14
    Survey response — 12 months, dose 2

    MedDRA: Injection site pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: The arm where I got my vaccination in hurts me to the core.

    MedDRA releases: 2024-11 · check-in free text available
24. 2022-04-14
    Report sent to call center — 12 months, dose 2

    Get care from a doctor or other healthcare professional

    Outpatient clinic or urgent care clinic visit · 1 call case(s)
25. 2022-04-18
    Call 1 — Left Voicemail