SQP-31092-49330

Timeline

1. 2021-03-11
   Dose 1 — Moderna
2. 2021-04-11
   Dose 2 — Moderna
3. 2021-12-08
   Registered in v-safe
4. 2021-12-08
   Dose 3 — Moderna
5. 2021-12-08
   Health check-in — day 0, dose 3, dependent

   Feeling: Fair · Site: Pain · None

   Adult check-in
6. 2021-12-09
   Health check-in — days 1–6 daily, dose 3, dependent

   Feeling: Good · None

   Adult check-in
7. 2021-12-10
   Health check-in — days 1–6 daily, dose 3, dependent

   Feeling: Good · None

   Adult check-in
8. 2021-12-11
   Health check-in — days 1–6 daily, dose 3, dependent

   Feeling: Good · Headache

   Adult check-in
9. 2021-12-12
   Health check-in — days 1–6 daily, dose 3, dependent

   Feeling: Good · None

   Adult check-in
10. 2021-12-13
    Survey response — days 1–6 daily, dose 3, dependent

    MedDRA: Oropharyngeal pain — Feeling: Good · Muscle or body aches, Fatigue or tiredness

    Free text: Sore throat, but no fever

    MedDRA releases: 2024-11 · check-in free text available
11. 2021-12-14
    Health check-in — days 1–6 daily, dose 3, dependent

    Feeling: Good · None

    Adult check-in
12. 2021-12-15
    Health check-in — day 7, dose 3, dependent

    Feeling: Good · None

    Adult check-in
13. 2021-12-22
    Health check-in — day 14, dose 3, dependent

    Feeling: Good

    Adult check-in
14. 2021-12-29
    Health check-in — day 21, dose 3, dependent

    Feeling: Good

    Adult check-in
15. 2022-01-05
    Health check-in — day 28, dose 3, dependent

    Feeling: Good

    Adult check-in
16. 2022-01-12
    Health check-in — day 35, dose 3, dependent

    Feeling: Good

    Adult check-in
17. 2022-01-19
    Survey response — day 42, dose 3, dependent

    MedDRA: Pre-existing disease, Skin haemorrhage, Weight decreased — Feeling: Good

    Free text: Lost 10 pounds. Arm skin bleeds easily. He is in his 21st year of Alzheimers. I am giving him lots of tumeric so that may be causing his bleeding.

    MedDRA releases: 2024-11 · check-in free text available
18. 2022-03-11
    Survey response — 3 months, dose 3, dependent

    MedDRA: Cough, Nasopharyngitis, Rhinorrhoea — Feeling: Fair

    Free text: Runny nose, coughing. I think it is just a cold.

    MedDRA releases: 2024-11 · check-in free text available
19. 2022-06-08
    Health check-in — 6 months, dose 3, dependent

    Feeling: Fair

    Adult check-in
20. 2022-12-08
    Survey response — 12 months, dose 3, dependent

    MedDRA: Asthenia, Chronic lymphocytic leukaemia, Decreased appetite, Fatigue, Lymphadenopathy, Pyrexia, Sepsis, Urinary tract infection, Vomiting — Feeling: Fair · 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, Emergency room or emergency department visit, Hospitalization

    Free text: Four UTIs, sepsis, weakness, fatigue, loss of appetite, Chronic lymphatic leukemia, enlarged lymph nodes, vomiting, fever.

    MedDRA releases: 2024-11 · check-in free text available
21. 2022-12-08
    Report sent to call center — 12 months, dose 3, dependent

    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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
22. 2022-12-09
    Call successful

    Participant prefers to complete VAERS report online