D42-31932-67211

Timeline

1. 2021-04-16
   Registered in v-safe
2. 2021-04-16
   Dose 1 — Moderna
3. 2021-04-16
   Survey response — day 0, dose 1

   MedDRA: Anxiety, Heart rate increased, Panic reaction, Restlessness — Feeling: Good · Site: Pain

   Free text: Anxiety/panic - elevated heart rate, restless

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-04-19
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
5. 2021-04-20
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Fatigue or tiredness

   Adult check-in
6. 2021-04-21
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-04-22
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-04-23
   Health check-in — day 7, dose 1

   Feeling: Good · Headache

   Adult check-in
9. 2021-04-30
   Health check-in — day 14, dose 1

   Feeling: Good

   Adult check-in
10. 2021-05-07
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
11. 2021-05-14
    Dose 2 — Moderna
12. 2021-05-14
    Survey response — day 0, dose 2

    MedDRA: Anxiety, Headache — Feeling: Good

    Free text: Headache prior to vaccine. Likely anxiety related.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
13. 2021-05-15
    Survey response — days 1–6 daily, dose 2

    MedDRA: Initial insomnia, Insomnia — Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

    Free text: Trouble falling and staying asleep

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-05-16
    Health check-in — days 1–6 daily, dose 2

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

    Adult check-in
15. 2021-05-17
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Fatigue or tiredness

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

    Feeling: Good · Fatigue or tiredness

    Adult check-in
17. 2021-05-20
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Headache, Fatigue or tiredness

    Adult check-in
18. 2021-05-21
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
19. 2021-05-28
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
20. 2021-06-04
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
21. 2021-06-11
    Health check-in — day 28, dose 2

    Feeling: Good

    Adult check-in
22. 2021-06-18
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
23. 2021-06-28
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
24. 2021-08-15
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
25. 2021-11-12
    Survey response — 6 months, dose 2

    MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional

    Free text: Symptoms: Pregnancy · Healthcare visit (other): In person doctors visits

    MedDRA releases: 2024-11 · check-in free text available
26. 2021-11-12
    Report sent to call center — 6 months, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
27. 2021-11-16
    Call successful

    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
28. 2022-05-14
    Health check-in — 12 months, dose 2

    Feeling: Good

    Adult check-in