5YF-14291-44150

Timeline

1. 2021-01-14
   Registered in v-safe
2. 2021-01-14
   Dose 1 — Moderna
3. 2021-01-14
   Health check-in — day 0, dose 1

   Feeling: Good · None

   Adult check-in
4. 2021-01-15
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · None

   Adult check-in
5. 2021-01-16
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain, Swelling · None

   Adult check-in
6. 2021-01-17
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain, Swelling · None

   Adult check-in
7. 2021-01-18
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-01-19
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
9. 2021-01-20
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
10. 2021-01-26
    Health check-in — day 7, dose 1

    Feeling: Good · None

    Adult check-in
11. 2021-01-28
    Survey response — day 14, dose 1

    MedDRA: Medical counselling, Office visit, Visual impairment — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

    Free text: Symptoms: Trouble seeing out of my left eye · Healthcare visit (other): Ophthalmology visit

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-01-28
    Report sent to call center — day 14, 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)
13. 2021-02-06
    Survey response — day 21, dose 1

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

    Free text: Experiencing double vision. Specialist is ordering an mri and carotid arterial ultrasound to check for issues

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-02-13
    Survey response — day 28, dose 1

    MedDRA: Confusional state, Diplopia, Dizziness, Emergency care, Mobility decreased, Tremor — Feeling: Poor · Be unable to work, 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: Cloudy thoughts. Trouble moving legs and arms at times, shaky and dizzy with double vision. Taken to the er on Monday. Having mri on this Tuesday

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
15. 2021-02-13
    Report sent to call center — day 28, 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)
16. 2021-02-18
    Health check-in — day 35, dose 1

    Feeling: Poor

    Adult check-in
17. 2021-02-27
    Survey response — day 42, dose 1

    MedDRA: Diplopia, Disturbance in attention, Headache — Feeling: Poor · Be unable to work, 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: Double vision, headaches, concentration issues

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
18. 2021-02-27
    Report sent to call center — day 42, 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)
19. 2021-04-15
    Survey response — 3 months, dose 1

    MedDRA: Adverse reaction, Office visit — Feeling: Poor · Be unable to work, 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, Hospitalization

    Free text: Im seeing a neurologist and they believe I've had an issue with the vaccine. I've been on short term disability for two months

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
20. 2021-04-15
    Report sent to call center — 3 months, 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)
21. 2021-06-16
    Call successful

    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
22. 2022-01-16
    Health check-in — 12 months, dose 1

    Feeling: Poor

    Adult check-in