66T-27242-56952

Timeline

1. 2021-02-21
   Dose 1 — Moderna
2. 2021-03-21
   Dose 2 — Moderna
3. 2021-03-23
   Registered in v-safe
4. 2021-03-23
   Health check-in — days 1–6 daily, dose 2

   Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

   Adult check-in
5. 2021-03-25
   Survey response — days 1–6 daily, dose 2

   MedDRA: Decreased appetite, Diarrhoea, Hospitalisation, Nausea, Oxygen saturation decreased, Respiratory arrest, Resuscitation — Feeling: Poor · Fatigue or tiredness, Nausea, Diarrhea · 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: Yesterday, stopped breathing for a while and was resusitated. Webt to emergency room and was admitted to hospital. Was losing oxygen when doing anything physical lime walking to toilet. Released today and went to bed. Now have nausea, diarrhea and is cold.. does not feel like eatibg anything

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-03-25
   Report sent to call center — days 1–6 daily, dose 2

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

   1 call case(s)
7. 2021-03-26
   Health check-in — days 1–6 daily, dose 2

   Feeling: Fair · Fatigue or tiredness

   Adult check-in
8. 2021-03-27
   Health check-in — days 1–6 daily, dose 2

   Feeling: Fair · Headache

   Adult check-in
9. 2021-03-28
   Health check-in — day 7, dose 2

   Feeling: Good · None

   Adult check-in
10. 2021-04-04
    Survey response — day 14, dose 2

    MedDRA: Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Ubrelated to Covid. When in hospital, they carhetorized because of urine retention. He pulled it out ans has had bleeding and urinating problems. 3 times in emergency room in 2 days

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

    MedDRA: Fatigue, Infection, Medical counselling, Nausea — Feeling: Poor · 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: Infection unrelated to covid. Antibiotic make him tired and nauseous.Catheter in for another week · Healthcare visit (other): Home care nurse

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-04-13
    Report sent to call center — day 21, dose 2

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

    1 call case(s)
13. 2021-04-25
    Survey response — day 35, dose 2

    MedDRA: Apnoea, Bladder catheterisation, Emergency care, Oxygen saturation decreased, Urinary retention — Feeling: Poor · 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: Started at time after i had second moderna vaccine. Symptoms. On third day, stopped breathing for short time. To hospital for low oxygen, but at hospital urine retention detected so catheter was inserted. Downhill from there. ot covid related.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-04-25
    Report sent to call center — day 35, dose 2

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

    1 call case(s)
15. 2021-05-02
    Health check-in — day 42, dose 2

    Feeling: Fair

    Adult check-in
16. 2021-06-20
    Health check-in — 3 months, dose 2

    Feeling: Fair

    Adult check-in
17. 2021-09-19
    Survey response — 6 months, dose 2

    MedDRA: Pre-existing disease — Feeling: Fair · Be unable to work or attend school, 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: Progressive disease with no cure. FTD. Not related to Covid shot.

    MedDRA releases: 2024-11 · check-in free text available
18. 2021-09-19
    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. 2021-09-22
    Call successful

    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
20. 2022-03-21
    Health check-in — 12 months, dose 2

    Feeling: Fair

    Adult check-in