64E-30430-91643

Timeline

1. 2021-01-12
   Dose 1 — Moderna
2. 2021-01-16
   Registered in v-safe
3. 2021-01-16
   Survey response — days 1–6 daily, dose 1

   MedDRA: COVID-19, Headache, Hospitalisation, Nausea, Pruritus, Self-medication, Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · 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: Systemic reaction (other): Had COVID in October. Hospitalized 3 weeks. Post 52 hours, released. Day 5, today, a bit nauseous and have headache. Breathing better. Itching and taking benadryl. · Healthcare visit (other): Other information: autoimmune disorder, chemotherapy 1x/month for neuroendocrine cancer, asthma, and age 71. Scheduled for February 9 to take the second one. Should I take it?

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-01-16
   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. 2021-01-18
   Survey response — days 1–6 daily, dose 1

   MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness

   Free text: Will it be safe for me to take the second shot on February 9?

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-01-19
   Survey response — day 7, dose 1

   MedDRA: COVID-19, Pruritus, Telemedicine — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

   Free text: Systemic reaction (other): Itching · Healthcare visit (other): I received a phone call. Ive been informed that I have Covid again. What a disaster. When I was in the hospital I even have the plasma. On November 8 I was negative. I just received the phone call and Im going to be receiving another one to get informed about an antibody called Bamlanivimab.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-01-19
   Report sent to call center — day 7, dose 1

   Get care from a doctor or other healthcare professional

   1 call case(s)
8. 2021-01-31
   Survey response — day 14, dose 1

   MedDRA: Fatigue, Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

   Free text: Symptoms: Fatigue. Red welts on arm. · Healthcare visit (other): Red welts on arm

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-01-31
   Report sent to call center — day 14, dose 1

   Get care from a doctor or other healthcare professional

   1 call case(s)
10. 2021-02-02
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
11. 2021-03-15
    Call 1 — Left Voicemail
12. 2021-03-16
    Call successful

    Reported to VAERS voluntarily prior to GDIT contact
13. 2021-07-13
    Survey response — 6 months, dose 1

    MedDRA: Hospitalisation, Pneumonia bacterial, Pneumonia viral — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

    Free text: Symptoms: Still needing supplemental oxygen. Cognitive difficulties. Memory issues. Recent diagnosis of hypo thyroid and diabetes. The Weight Gain from the steroids has been difficult to lose. · Healthcare visit (other): I was hospitalized for three weeks. I received the plasma therapy. I contracted bacterial pneumonia in addition to having the viral pneumonia.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-07-13
    Report sent to call center — 6 months, dose 1

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

    1 call case(s)
15. 2022-01-14
    Survey response — 12 months, dose 1

    MedDRA: Migraine, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

    Free text: Migraines Vestiibular neuropathy

    MedDRA releases: 2024-11 · check-in free text available
16. 2022-01-14
    Report sent to call center — 12 months, dose 1

    Get care from a doctor or other healthcare professional

    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
17. 2022-01-17
    Call successful

    Reported to VAERS voluntarily prior to GDIT contact