KWG-31647-02065

Timeline

1. 2021-08-14
   Dose 1 — Moderna
2. 2021-08-16
   Registered in v-safe
3. 2021-08-16
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school

   Adult check-in
4. 2021-08-17
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
5. 2021-08-19
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
6. 2021-08-20
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-08-23
   Health check-in — day 7, dose 1

   Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

   Adult check-in
8. 2021-08-28
   Health check-in — day 14, dose 1

   Feeling: Good

   Adult check-in
9. 2021-09-11
   Dose 2 — Moderna
10. 2022-07-01
    Dose 3 — Pfizer-BioNTech
11. 2022-08-14
    Survey response — day 42, dose 3

    MedDRA: Haemorrhage, Ovarian cyst — Feeling: Poor · 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: Ovarian cysts bleeding

    MedDRA releases: 2024-11 · check-in free text available
12. 2022-08-14
    Survey response — 12 months, dose 1

    MedDRA: Haemorrhage, Ovarian cyst, Skin indentation — Feeling: Poor · 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: Cyst on my ovary, an indentation in my shoulder, bleeding.

    MedDRA releases: 2024-11 · check-in free text available
13. 2022-08-14
    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

    Emergency room or emergency department visit · 1 call case(s)
14. 2022-08-14
    Report sent to call center — day 42, dose 3

    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)
15. 2022-08-15
    Call 1 — Left Voicemail
16. 2022-08-15
    Call 1 — Left Voicemail
17. 2022-10-02
    Survey response — 3 months, dose 3

    MedDRA: Decreased appetite, Malaise, Pain, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

    Free text: Sick ?, deathly ill and vomiting, no appetite, and pain.

    MedDRA releases: 2024-11 · check-in free text available
18. 2022-10-02
    Report sent to call center — 3 months, dose 3

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

    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
19. 2022-10-05
    Call 2 — Left Voicemail
20. 2022-10-05
    Call 2 — Left Voicemail
21. 2022-10-05
    Call 1 — Left Voicemail
22. 2022-10-07
    Call successful

    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
23. 2022-10-07
    Call successful

    Participant prefers to complete VAERS report online
24. 2022-10-07
    Call successful

    Participant prefers to complete VAERS report online