6Y3-94459-35762

Timeline

1. 2021-01-04
   Registered in v-safe
2. 2021-01-04
   Dose 1 — Moderna
3. 2021-01-04
   Health check-in — day 0, dose 1

   Feeling: Good · None

   Adult check-in
4. 2021-01-06
   Survey response — days 1–6 daily, dose 1

   MedDRA: Heart rate irregular — Feeling: Good · Site: Pain

   Free text: Irregular heartbeat for several hours after receiving the vaccine. I would guess they were PACs?

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-01-07
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain, Swelling · None

   Adult check-in
6. 2021-01-08
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-01-09
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-01-10
   Survey response — days 1–6 daily, dose 1

   MedDRA: Extrasystoles — Feeling: Good

   Free text: As I mentioned previously, about an hour after getting the injection I experienced noticeable skipped heartbeats. It's continued but to a lesser degree since that first day.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-01-11
   Health check-in — day 7, dose 1

   Feeling: Good · Site: Itching · None

   Adult check-in
10. 2021-01-18
    Survey response — day 14, dose 1

    MedDRA: Asthenia, Dizziness, Eye pruritus, Injection site erythema, Injection site induration, Injection site pain, Injection site warmth, Palpitations, Rhinitis, Self-medication, Sneezing — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

    Free text: Palpitations less. Day8: redness, tenderness, warmth,induration at vaccine site 8.5 X 5.5 cm lasted 5 daysDay 10: rhinitis, sneezing, and itchy eyes worse on day 11. Rhinitis improved with antihistamine. Day 10-12:light headed, weak, low energy

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-01-18
    Report sent to call center — day 14, dose 1

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

    1 call case(s)
12. 2021-01-25
    Survey response — day 21, dose 1

    MedDRA: Office visit, Palpitations, Pyrexia — 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

    Free text: Symptoms: Palpitations which started a couple hours after vaccine evaluated by cardiologist. New onset hyperthyroidism. Holter showed PACs,PVCS, and Supra ventricular tachycardia. Awaiting Endo work up. Suspect subacute thyroiditis. Low grade temp of 99.8 · Healthcare visit (other): Visit with cardiology and endocrinology

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
13. 2021-01-25
    Report sent to call center — day 21, 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)
14. 2021-01-30
    Dose 2 — Moderna
15. 2021-02-01
    Health check-in — days 1–6 daily, dose 2

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

    Adult check-in
16. 2021-02-02
    Survey response — days 1–6 daily, dose 2

    MedDRA: Dizziness, Thyroiditis subacute — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

    Free text: Light headed. Still symptoms of subacute thyroiditis from the first vaccine!

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
17. 2021-02-04
    Survey response — days 1–6 daily, dose 2

    MedDRA: Palpitations, Thyroiditis subacute — Feeling: Fair · Site: Pain · Fatigue or tiredness

    Free text: Palpitations (subacute thyroiditis started after first vaccine)

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
18. 2021-02-05
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Fatigue or tiredness

    Adult check-in
19. 2021-02-07
    Survey response — day 7, dose 2

    MedDRA: Reaction to previous exposure to any vaccine, Tenderness, Thyroid disorder — Feeling: Good · Fatigue or tiredness

    Free text: One week after the 2nd vaccine, again my thyroid is increasingly tender (I developed subacute thyroiditis following the first vaccine)

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
20. 2021-02-13
    Survey response — day 14, dose 2

    MedDRA: Office visit, Tenderness, Thyroiditis subacute, Thyroxine increased, Tri-iodothyronine increased — Feeling: Good · Get care from a doctor or other healthcare professional

    Free text: Symptoms: I developed subacute thyroiditis after 1st vaccine. Following booster shot-higher T3 &T4, and increased thyroid tenderness. · Healthcare visit (other): Endocrinologist and labs

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
21. 2021-02-13
    Report sent to call center — day 14, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
22. 2021-02-20
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
23. 2021-03-24
    Call successful

    Does not wish to fill out VAERS report
24. 2021-07-31
    Health check-in — 6 months, dose 2

    Feeling: Good

    Adult check-in
25. 2022-01-30
    Health check-in — 12 months, dose 2

    Feeling: Good

    Adult check-in