R8F-90067-74877

Timeline

1. 2020-12-22
   Registered in v-safe
2. 2020-12-22
   Dose 1 — Moderna
3. 2020-12-22
   Health check-in — day 0, dose 1

   Feeling: Good · None

   Adult check-in
4. 2020-12-23
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

   Adult check-in
5. 2020-12-28
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
6. 2020-12-29
   Health check-in — day 7, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-01-05
   Health check-in — day 14, dose 1

   Feeling: Good

   Adult check-in
8. 2021-01-12
   Survey response — day 21, dose 1

   MedDRA: Palpitations — Feeling: Good

   Free text: Palpitations

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-03-23
   Survey response — 3 months, dose 1

   MedDRA: Memory impairment, Mental impairment — Feeling: Fair

   Free text: Difficulty remembering things at times

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-06-24
    Health check-in — 6 months, dose 1

    Feeling: Good

    Adult check-in
11. 2021-12-24
    Survey response — 12 months, dose 1

    MedDRA: Anxiety, Memory impairment, Tachycardia — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Forgetfulness, anxiety, tachycardia

    MedDRA releases: 2024-11 · check-in free text available
12. 2021-12-24
    Report sent to call center — 12 months, dose 1

    Be unable to work or attend school · Get care from a doctor or other healthcare professional

    Outpatient clinic or urgent care clinic visit · 1 call case(s)
13. 2021-12-27
    Call successful

    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)