99Q-21723-70899

Timeline

1. 2021-04-14
   Registered in v-safe
2. 2021-04-14
   Dose 1 — Moderna
3. 2021-04-14
   Health check-in — day 0, dose 1

   Feeling: Good · Site: Pain · Nausea

   Adult check-in
4. 2021-04-15
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness

   Adult check-in
5. 2021-04-16
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
6. 2021-04-17
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-04-18
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Fatigue or tiredness

   Adult check-in
8. 2021-04-19
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
9. 2021-04-21
   Health check-in — day 7, dose 1

   Feeling: Good · None

   Adult check-in
10. 2021-04-30
    Health check-in — day 14, dose 1

    Feeling: Good

    Adult check-in
11. 2021-05-05
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
12. 2021-05-12
    Dose 2 — Moderna
13. 2021-05-16
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

    Adult check-in
14. 2021-05-16
    Report sent to call center — days 1–6 daily, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
15. 2021-05-17
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

    Adult check-in
16. 2021-05-18
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
17. 2021-05-19
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
18. 2021-05-26
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
19. 2021-06-02
    Survey response — day 21, dose 2

    MedDRA: Chills, Fatigue, Headache, Nausea — Feeling: Fair · Be unable to work

    Free text: Fatigue, nauseous, headaches and chills

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
20. 2021-06-09
    Health check-in — day 28, dose 2

    Feeling: Good

    Adult check-in
21. 2021-06-18
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
22. 2021-06-23
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
23. 2021-08-11
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
24. 2021-11-12
    Health check-in — 6 months, dose 2

    Feeling: Good

    Adult check-in
25. 2022-02-11
    Call successful

    Participant prefers to complete VAERS report online
26. 2022-05-13
    Survey response — 12 months, dose 2

    MedDRA: Aphasia, Loss of consciousness, Seizure like phenomena, Speech disorder — Feeling: Good · Be unable to work or attend school, 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: I am scheduling to see a neurologist after seizure like activity. Passed out, lost consciousness and from 9am to 2pm, was having trouble forming complete sentences and getting words out in general.

    MedDRA releases: 2024-11 · check-in free text available
27. 2022-05-13
    Report sent to call center — 12 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

    Emergency room or emergency department visit · 1 call case(s)
28. 2022-05-16
    Call successful

    Does not wish to fill out VAERS report