55H-19699-77031

Timeline

1. 2021-01-16
   Registered in v-safe
2. 2021-01-16
   Dose 1 — Moderna
3. 2021-01-17
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · None

   Adult check-in
4. 2021-01-18
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
5. 2021-01-19
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Fatigue or tiredness

   Adult check-in
6. 2021-01-22
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-01-23
   Health check-in — day 7, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-01-30
   Health check-in — day 14, dose 1

   Feeling: Good

   Adult check-in
9. 2021-02-06
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
10. 2021-02-13
    Health check-in — day 28, dose 1

    Feeling: Good

    Adult check-in
11. 2021-02-14
    Dose 2 — Moderna
12. 2021-02-20
    Survey response — days 1–6 daily, dose 2

    MedDRA: Rhinorrhoea, Self-medication — Feeling: Good · Site: Pain

    Free text: Runny nose two days after for one day easily resolved with cold med

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
13. 2021-02-21
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
14. 2021-02-28
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
15. 2021-03-07
    Survey response — day 21, dose 2

    MedDRA: Back pain — Feeling: Fair

    Free text: Chronic back pain related to medical hx bad today. Believe unrelated to Vaccine

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
16. 2021-03-14
    Survey response — day 28, dose 2

    MedDRA: Arthralgia, Contusion — Feeling: Fair

    Free text: Feel on hip. Experienced contusion only pain unrelated.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
17. 2021-03-21
    Health check-in — day 35, dose 2

    Feeling: Fair

    Adult check-in
18. 2021-03-28
    Health check-in — day 42, dose 2

    Feeling: Fair

    Adult check-in
19. 2021-05-16
    Survey response — 3 months, dose 2

    MedDRA: Abdominal discomfort, Diarrhoea, Emergency care, Flatulence, Functional gastrointestinal disorder, Self-medication, 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, Emergency room or emergency department visit

    Free text: Symptoms: Had 3-4 week abnormal GI function. Began April 21. First had acute early AM gas and LBM with abdominal discomfort. Seen in ER and had normal CAT scan. Has now almost resolved with dietary modificafions and OTC treatments. Do no tbink related. · Healthcare visit (other): CAT scan

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
20. 2021-05-16
    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. 2021-08-15
    Health check-in — 6 months, dose 2

    Feeling: Good

    Adult check-in
22. 2022-02-12
    Call successful

    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
23. 2022-02-16
    Health check-in — 12 months, dose 2

    Feeling: Good

    Adult check-in