B3K-67067-85448

Timeline

1. 2020-12-29
   Registered in v-safe
2. 2020-12-29
   Dose 1 — Moderna
3. 2020-12-29
   Survey response — day 0, dose 1

   MedDRA: Palpitations, Panic attack — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Diarrhea

   Free text: Panic Attack, heart palpitations

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2020-12-31
   Survey response — days 1–6 daily, dose 1

   MedDRA: Palpitations — Feeling: Fair · Site: Pain

   Free text: Heart racing

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-01-02
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · None

   Adult check-in
6. 2021-01-06
   Health check-in — day 7, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-01-19
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
8. 2021-01-26
   Health check-in — day 28, dose 1

   Feeling: Good

   Adult check-in
9. 2021-12-29
   Survey response — 12 months, dose 1

   MedDRA: Postural orthostatic tachycardia syndrome, Pre-existing disease, Rehabilitation therapy, Tachycardia — 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

   Free text: Tachycardia Rehabilitation for new diagnosis of POTS post vaccine

   MedDRA releases: 2024-11 · check-in free text available
10. 2021-12-29
    Report sent to call center — 12 months, dose 1

    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
11. 2022-01-03
    Call successful

    Participant prefers to complete VAERS report online