5AT-13461-37172

Timeline

1. 2021-01-15
   Dose 1 — Moderna
2. 2021-01-17
   Registered in v-safe
3. 2021-01-17
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Muscle or body aches, Fatigue or tiredness

   Adult check-in
4. 2021-02-12
   Dose 2 — Moderna
5. 2021-02-12
   Health check-in — day 0, dose 2

   Feeling: Good · None

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

   MedDRA: Hypersomnia — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

   Free text: Cant stay awake

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-02-14
   Survey response — days 1–6 daily, dose 2

   MedDRA: Pneumonia, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, 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, Hospitalization

   Free text: Systemic reaction (other): Diagnosed with pneumonia · Healthcare visit (other): May be an odd coincidence with shot #2

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-02-14
   Report sent to call center — days 1–6 daily, 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)
9. 2021-02-26
   Survey response — day 14, dose 2

   MedDRA: Chills, Emergency care, Pneumonia, Pyrexia — Feeling: Poor · 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, Hospitalization

   Free text: Feb 13 diagnosis severe reaction to shot #2 vaccine, high fever rigors.m. EMT to hospital pneumonia, in hospice care now. Doctors do not think he will survive

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-02-26
    Report sent to call center — day 14, 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)
11. 2021-03-05
    Health check-in — day 21, dose 2

    Feeling: Fair

    Adult check-in
12. 2021-03-15
    Survey response — day 28, dose 2

    MedDRA: Dysphagia, Pneumonia — Feeling: Fair · 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, Hospitalization

    Free text: (b)(6) continues to suffer from the pneumonia, and swallowing problems that he had on the day after his 2nd vaccine shot.His doctors say this will not improve. He spent 5 days at a Hospice house and now has at-home-Hospice care.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
13. 2021-03-15
    Report sent to call center — day 28, 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)
14. 2021-05-14
    Survey response — 3 months, dose 2

    MedDRA: Asthenia, Hospice care, Hospitalisation, Hypersomnia, Malaise, Walking aid user — Feeling: Poor · 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, Hospitalization

    Free text: Symptoms: Weak, sleep a lot, must use a Walker, I am in At-Home Hospice care. I got very sick the day after shot #2 of the Moderna Vaccine and went to the hospital, then after a few days admitted to Hospice · Healthcare visit (other): From hospital to Hospice

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
15. 2021-05-14
    Report sent to call center — 3 months, 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)
16. 2021-07-31
    Call 1 — Left Voicemail
17. 2021-08-15
    Survey response — 6 months, dose 2

    MedDRA: Dysphagia, Emergency care, General physical health deterioration, Hospice care — Feeling: Poor · Be unable to work or attend school, 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: The day after my second covid shot I went to the hospital, have swallowing problems and was sent home with at-home hospice care. I am not expected to live very long.

    MedDRA releases: 2021-09,2024-11 · check-in free text available
18. 2021-08-15
    Report sent to call center — 6 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)
19. 2021-08-19
    Call 1 — Left Voicemail