W9R-19123-97754

Timeline

1. 2021-04-06
   Registered in v-safe
2. 2021-04-08
   Dose 1 — Moderna
3. 2021-04-09
   Health check-in — days 1–6 daily, dose 1

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

   Adult check-in
4. 2021-04-10
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
5. 2021-04-11
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Fatigue or tiredness, Nausea

   Adult check-in
6. 2021-04-13
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Headache, Fatigue or tiredness

   Adult check-in
7. 2021-04-14
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-04-24
   Health check-in — day 14, dose 1

   Feeling: Good

   Adult check-in
9. 2021-04-30
   Dose 2 — Moderna
10. 2021-05-01
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
11. 2021-05-01
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
12. 2021-05-02
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
13. 2021-05-03
    Health check-in — days 1–6 daily, dose 2

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

    Adult check-in
14. 2021-05-04
    Health check-in — days 1–6 daily, dose 2

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

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

    Feeling: Good · None

    Adult check-in
16. 2021-05-06
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
17. 2021-05-07
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
18. 2021-05-21
    Survey response — day 21, dose 2

    MedDRA: Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

    Free text: Underarm with welts and oozing puss

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
19. 2021-05-21
    Report sent to call center — day 21, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
20. 2021-05-30
    Health check-in — day 28, dose 2

    Feeling: Good

    Adult check-in
21. 2021-06-14
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
22. 2021-08-01
    Survey response — 3 months, dose 2

    MedDRA: Anxiety — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

    Free text: Anxiety

    MedDRA releases: 2021-09,2024-11 · check-in free text available
23. 2021-08-01
    Report sent to call center — 3 months, dose 2

    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

    1 call case(s)
24. 2021-08-03
    Call 1 — Left Voicemail
25. 2021-10-30
    Survey response — 6 months, dose 2

    MedDRA: Anxiety — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Anxiety

    MedDRA releases: 2024-11 · check-in free text available
26. 2021-10-30
    Report sent to call center — 6 months, dose 2

    Get care from a doctor or other healthcare professional

    Outpatient clinic or urgent care clinic visit · 1 call case(s)
27. 2021-11-02
    Call successful

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