4ZS-33014-75882

Timeline

1. 2021-01-19
   Dose 1 — Moderna
2. 2021-01-24
   Registered in v-safe
3. 2021-01-24
   Survey response — days 1–6 daily, dose 1

   MedDRA: Emergency care, Hemiplegic migraine, Ischaemic stroke — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

   Free text: I had hemiplegic migraine on Thursday, 1/21/2021 that required ER visit. I have history of ischemic Stroke on March 7, 2019.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-01-24
   Report sent to call center — days 1–6 daily, dose 1

   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)
5. 2021-01-25
   Survey response — days 1–6 daily, dose 1

   MedDRA: Atrial fibrillation, Emergency care, Headache, Ischaemic stroke, Pre-existing disease — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

   Free text: I have hx of ischemic stroke, AFib and take Eliquis. Refer to prior notes regarding headache 38 hours after Covid 19 vaccine requiring ER visit and Stroke protocol enacted. Should I get 2nd Covid Vaccine???

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-01-26
   Health check-in — day 7, dose 1

   Feeling: Good · None

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

   Feeling: Fair

   Adult check-in
8. 2021-02-11
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
9. 2021-02-16
   Dose 2 — Moderna
10. 2021-02-17
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

    Adult check-in
11. 2021-02-18
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Site: Pain · Fatigue or tiredness

    Adult check-in
12. 2021-02-19
    Survey response — days 1–6 daily, dose 2

    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fatigue or tiredness

    Free text: Brain fog x 3 days

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
13. 2021-02-20
    Survey response — days 1–6 daily, dose 2

    MedDRA: Adverse reaction — Feeling: Fair · Fatigue or tiredness

    Free text: Less than yesterday; no pain anywhere

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-02-21
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Diarrhea

    Adult check-in
15. 2021-02-22
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
16. 2021-02-25
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
17. 2021-03-02
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
18. 2021-03-09
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
19. 2021-06-01
    Call 1 — Left Voicemail
20. 2021-08-17
    Health check-in — 6 months, dose 2

    Feeling: Good

    Adult check-in
21. 2022-02-16
    Survey response — 12 months, dose 2

    MedDRA: Deafness, Hearing aid user — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: hearing loss, now have hearing aids

    MedDRA releases: 2024-11 · check-in free text available
22. 2022-02-16
    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)
23. 2022-02-17
    Call successful

    Does not wish to fill out VAERS report