4XR-21311-78295

Timeline

1. 2021-01-29
   Dose 1 — Moderna
2. 2021-01-30
   Registered in v-safe
3. 2021-01-31
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
4. 2021-02-02
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
5. 2021-02-04
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
6. 2021-02-05
   Health check-in — day 7, dose 1

   Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activities

   Adult check-in
7. 2021-02-14
   Health check-in — day 14, dose 1

   Feeling: Good

   Adult check-in
8. 2021-02-19
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
9. 2021-02-27
   Dose 2 — Moderna
10. 2021-02-27
    Survey response — day 0, dose 2

    MedDRA: Bone pain, Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

    Free text: Tremendous bone aches, inability to sleep

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-02-28
    Health check-in — days 1–6 daily, dose 2

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

    Adult check-in
12. 2021-03-01
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
13. 2021-03-02
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
14. 2021-03-03
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
15. 2021-03-04
    Survey response — days 1–6 daily, dose 2

    MedDRA: Muscle spasms, Self-medication — Feeling: Good · Muscle or body aches

    Free text: Lower leg cramps similar to a Charlie horse that is short lived but reoccurs every 2-5 minutes for a few hours. Then reoccurs fir a mother few hours Tylenol did not help

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
16. 2021-03-05
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
17. 2021-03-06
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
18. 2021-03-13
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
19. 2021-03-20
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
20. 2021-03-27
    Survey response — day 28, dose 2

    MedDRA: Middle ear effusion, Oropharyngeal pain, Pruritus — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Sore throat 6 hours after husband vaccinated and lasting 5 days. Ears with itchy fluid for 5 days.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
21. 2021-04-03
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
22. 2021-04-10
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
23. 2021-05-29
    Survey response — 3 months, dose 2

    MedDRA: Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities

    Free text: UTI after a 10 day bikectrip

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
24. 2021-08-30
    Survey response — 6 months, dose 2

    MedDRA: Hemiparesis, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

    Free text: Symptoms: Weakness right leg ( calf and right groin) · Healthcare visit (other): Waiting to be seen in office

    MedDRA releases: 2021-09,2024-11 · check-in free text available
25. 2021-08-30
    Report sent to call center — 6 months, dose 2

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

    1 call case(s)
26. 2021-09-03
    Call 1 — Left Voicemail
27. 2022-02-27
    Survey response — 12 months, dose 2

    MedDRA: Hip arthroplasty, Pre-existing disease, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization

    Free text: Symptoms: Had 1 hip replacement in dec and the 2nd one 3/4 serve arthritis of both hips · Healthcare visit (other): Surgery

    MedDRA releases: 2024-11 · check-in free text available
28. 2022-02-27
    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 · Hospitalization · 1 call case(s)
29. 2022-03-01
    Call 1 — Left Voicemail
30. 2022-03-01
    Call successful

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