Z6N-25418-06125

Timeline

1. 2021-01-13
   Dose 1 — Moderna
2. 2021-02-11
   Registered in v-safe
3. 2021-02-11
   Dose 2 — Moderna
4. 2021-02-17
   Health check-in — days 1–6 daily, dose 2

   Feeling: Good · Site: Pain · None

   Adult check-in
5. 2021-02-18
   Health check-in — day 7, dose 2

   Feeling: Good · None

   Adult check-in
6. 2021-02-25
   Health check-in — day 14, dose 2

   Feeling: Good

   Adult check-in
7. 2021-03-04
   Survey response — day 21, dose 2

   MedDRA: Confusional state, Memory impairment — Feeling: Good

   Free text: Increasing Confusion & forgetfulness.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-03-11
   Survey response — day 28, dose 2

   MedDRA: Hypoaesthesia, Memory impairment, Motor dysfunction, Neurological symptom, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

   Free text: Symptoms: Neurological symptoms. Saw PCP Doc yesterday had labs they came back fine. I thought I was having stroke as my left side went numb & I lost use of my left hand & leg. These episodes only last 1 or 2 min. & becoming more frequent. Memory problems too · Healthcare visit (other): Doctors office. Saw my PCP

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-03-11
   Report sent to call center — day 28, dose 2

   Get care from a doctor or other healthcare professional

   1 call case(s)
10. 2021-03-20
    Survey response — day 35, dose 2

    MedDRA: Back pain, Hemiparesis, Hypoaesthesia, Musculoskeletal chest pain, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

    Free text: Symptoms: Numbness & weakness left side of body only lasting less than 2 minutes. It comes & goes. Last 2 weeks also pain on right side of mid back to rib area under shoulder blade. Saw my PCP he referred to my Cardiologist have appt. Monday 3/22/21 · Healthcare visit (other): Saw my Personal Care Provider at his clinic. Will see Cardiologist Monday 3/22/21

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-03-20
    Report sent to call center — day 35, dose 2

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

    1 call case(s)
12. 2021-03-25
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
13. 2021-12-15
    Call 1 — Left Voicemail