6N4-27959-36703

Timeline

1. 2021-01-11
   Dose 1 — Moderna
2. 2021-03-02
   Dose 2 — Moderna
3. 2021-03-03
   Registered in v-safe
4. 2021-03-04
   Health check-in — days 1–6 daily, dose 2

   Feeling: Fair · Site: Swelling · Fever · Muscle or body aches · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

   Adult check-in
5. 2021-03-04
   Report sent to call center — days 1–6 daily, dose 2

   Get care from a doctor or other healthcare professional

   1 call case(s)
6. 2021-03-05
   Survey response — days 1–6 daily, dose 2

   MedDRA: Dry mouth — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Nausea, Rash, not including the immediate area around the injection site · Be unable to work

   Free text: Dry mouth

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-03-09
   Health check-in — day 7, dose 2

   Feeling: Fair · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

   Adult check-in
8. 2021-03-16
   Survey response — day 14, dose 2

   MedDRA: Taste disorder — Feeling: Fair

   Free text: Foods I used to like and enjoy taste different, to many to list.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-03-23
   Health check-in — day 21, dose 2

   Feeling: Fair

   Adult check-in
10. 2021-03-30
    Health check-in — day 28, dose 2

    Feeling: Good

    Adult check-in
11. 2021-04-06
    Health check-in — day 35, dose 2

    Feeling: Fair

    Adult check-in
12. 2021-04-15
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
13. 2021-06-01
    Survey response — 3 months, dose 2

    MedDRA: Confusional state, Disorientation — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Loss of orientation, get confused like things Ive done for years seem to become complex.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-08-31
    Survey response — 6 months, dose 2

    MedDRA: Amnesia, Cardiac failure, Diarrhoea, Headache, Myalgia, SARS-CoV-2 test negative, Unevaluable event — 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, Emergency room or emergency department visit

    Free text: Symptoms: Lose of emery, muscle aches, diarrhea for days and headaches.Had rapid COVID test 8-1-21. Test was negative but my symptoms have been worse .Something I have not mentioned before is 6 weeks in the middle of February I was diagnosed heart failure. · Healthcare visit (other): Heart failure clinic

    MedDRA releases: 2021-09,2024-11 · check-in free text available
15. 2021-08-31
    Report sent to call center — 6 months, dose 2

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

    1 call case(s)
16. 2021-09-02
    Call 1 — Left Voicemail
17. 2022-03-05
    Survey response — 12 months, dose 2

    MedDRA: Cardiac disorder, Office visit — Feeling: Good · 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: Been in heart failure clinic for 3 quarters and going to my forth and final. Been a long and wonderful experience. Had my heart rebuilt without surgery.

    MedDRA releases: 2024-11 · check-in free text available
18. 2022-03-05
    Report sent to call center — 12 months, dose 2

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

    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
19. 2022-03-09
    Call 1 — Left Voicemail