ZVA-12064-96872

Timeline

1. 2020-12-30
   Registered in v-safe
2. 2020-12-30
   Dose 1 — Moderna
3. 2020-12-30
   Health check-in — day 0, dose 1

   Feeling: Good · Site: Pain · None

   Adult check-in
4. 2020-12-31
   Survey response — days 1–6 daily, dose 1

   MedDRA: Cough, Nasal congestion — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to work

   Free text: Stuffy nose, cough

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2020-12-31
   Report sent to call center — days 1–6 daily, dose 1

   Be unable to work

   1 call case(s)
6. 2021-01-01
   Survey response — days 1–6 daily, dose 1

   MedDRA: Nasal congestion — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

   Free text: Stuffy nose

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-01-01
   Report sent to call center — days 1–6 daily, dose 1

   Be unable to do your normal daily activities

   1 call case(s)
8. 2021-01-02
   Survey response — days 1–6 daily, dose 1

   MedDRA: Depressed mood, Feeling abnormal, Mood altered — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

   Free text: I don't know if this is related or not but I feel like I should still report it, today I have been very very depressed which is super strange just completely not like myself and unable to change my mood

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-01-03
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · Fatigue or tiredness

   Adult check-in
10. 2021-01-05
    Health check-in — days 1–6 daily, dose 1

    Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work

    Adult check-in
11. 2021-01-05
    Report sent to call center — days 1–6 daily, dose 1

    Be unable to work

    1 call case(s)
12. 2021-01-06
    Survey response — day 7, dose 1

    MedDRA: Dermatitis, Erythema, Feeling abnormal, Flushing, Hemiparesis — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

    Free text: Ever since the shot my face will just get bright red and hot for no reason. I will also have red skin looking patches that appear and disappear. I wouldn't classify it as a rash just more of some Sort of dermatitis reaction. I have also had weakness on my left side towards the end of each day and my brain is so foggy I can't even think or focus on anything

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
13. 2021-01-06
    Report sent to call center — day 7, dose 1

    Be unable to do your normal daily activities

    1 call case(s)
14. 2021-01-13
    Survey response — day 14, dose 1

    MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain — Feeling: Good

    Free text: At day 8 injection site itched and became red and swollen. Gone by day 9. Then day 10-13 painful lymph node on same side as injection site.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
15. 2021-01-20
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
16. 2021-01-27
    Dose 2 — Moderna
17. 2021-02-03
    Survey response — day 7, dose 2

    MedDRA: Conjunctivitis — Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work

    Free text: Conjunctivitis.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
18. 2021-02-10
    Survey response — day 14, dose 2

    MedDRA: Fatigue, Headache, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities

    Free text: So fatigued. Headache that wont go away. I find myself waking up during sleep gasping for air.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
19. 2021-02-17
    Survey response — day 21, dose 2

    MedDRA: Abdominal mass, Axillary mass, Breast mass, Breast tenderness, Dyspnoea, Fatigue, Loss of personal independence in daily activities, Nodule, Tenderness, Ventricular extrasystoles — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Tender lumps randomly over my body. A TON in breast tissue, armpits, arms, legs abdomen. Shortness of breath and unable to exercise with my heart throwing PVCs and me feeling so exhausted.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
20. 2021-02-24
    Survey response — day 28, dose 2

    MedDRA: Cardiac disorder — Feeling: Good · Be unable to do your normal daily activities

    Free text: Heart arrhythmia (way more than usual. Like 30+ a day)

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
21. 2021-03-03
    Survey response — day 35, dose 2

    MedDRA: Depression — Feeling: Good · Be unable to do your normal daily activities

    Free text: Severe depression. Happened with last shot and also after I had the actual virus.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
22. 2021-03-10
    Survey response — day 42, dose 2

    MedDRA: Asthenia, Brain fog, Confusional state, Disorientation, Feeling abnormal, Headache, Lymphadenopathy, Staring — Feeling: Poor · Be unable to do your normal daily activities

    Free text: Brain fog. I just stare off and dont know where I am at times. Its debilitating. Headache and swollen lymph nodes still

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available