6JF-18225-10365

Timeline

1. 2021-02-27
   Registered in v-safe
2. 2021-02-27
   Dose 1 — Moderna
3. 2021-02-27
   Health check-in — day 0, dose 1

   Feeling: Good · None

   Adult check-in
4. 2021-02-28
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
5. 2021-03-01
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
6. 2021-03-02
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-03-03
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-03-04
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
9. 2021-03-05
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
10. 2021-03-06
    Health check-in — day 7, dose 1

    Feeling: Good · None

    Adult check-in
11. 2021-03-13
    Health check-in — day 14, dose 1

    Feeling: Good

    Adult check-in
12. 2021-03-20
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
13. 2021-03-26
    Dose 2 — Moderna
14. 2021-03-26
    Health check-in — day 0, dose 2

    Feeling: Good · None

    Adult check-in
15. 2021-03-27
    Health check-in — days 1–6 daily, dose 2

    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

    Adult check-in
16. 2021-03-28
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Fever · Fatigue or tiredness

    Adult check-in
17. 2021-03-29
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
18. 2021-03-30
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
19. 2021-03-31
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
20. 2021-04-01
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
21. 2021-04-02
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
22. 2021-04-09
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
23. 2021-04-18
    Survey response — day 21, dose 2

    MedDRA: Blood test abnormal, Cough, Dyspnoea, Platelet count decreased, Red blood cell count decreased — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Shortness of breath. Coughing. Fine if I do nothing, but if I get up and do anything, I start coughing. Did lab work. Red blood low, platlets low. Several others low. Olan to call dr tomorrow.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
24. 2021-04-18
    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)
25. 2021-04-23
    Survey response — day 28, dose 2

    MedDRA: Dyspnoea, Fatigue, Haemoglobin decreased, Platelet count decreased, Red blood cell count decreased, Transfusion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

    Free text: Had to get 2 units of blood. Was very fatigued and short of breath. My hemoglobin and red blood count was very low as well as my platletts.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
26. 2021-04-23
    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)
27. 2021-04-30
    Survey response — day 35, dose 2

    MedDRA: Anaemia, Asthenia, Computerised tomogram, Platelet count decreased, Red blood cell count decreased, Red blood cell transfusion, White blood cell count decreased — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

    Free text: Red, white, cells very low and continue to get lower. Had 2 units of red blood. Platelets ver low also. Have had bone marrow biopsy and cat scan. Severe anemic with no known reason to be anemic. Very weak.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
28. 2021-04-30
    Report sent to call center — day 35, 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)
29. 2021-05-07
    Survey response — day 42, dose 2

    MedDRA: General physical health deterioration, Neoplasm malignant, Office visit, Platelet count decreased — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

    Free text: Symptoms: Looks like I will need a bone marrow transplant very soon. Getting into (b)(6) cancer on the 17th. My bone marrow is not producing red, white or platletts. Not in good health at all right now. · Healthcare visit (other): Cancer center

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
30. 2021-05-07
    Report sent to call center — day 42, 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)
31. 2021-06-26
    Survey response — 3 months, dose 2

    MedDRA: Death — Feeling: Poor

    Free text: Carol passed away 6/15/21. Blood cancer unrelated to covid or vaccine.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
32. 2021-09-30
    Survey response — 6 months, dose 2

    MedDRA: Death, Neoplasm malignant — Feeling: Poor

    Free text: My wife carol passed away from cancer

    MedDRA releases: 2024-11 · check-in free text available
33. 2021-12-15
    Call 1 — Left Voicemail