ZW6-28638-67636

Timeline

1. 2021-03-07
   Dose 1 — Moderna
2. 2021-03-18
   Registered in v-safe
3. 2021-03-18
   Survey response — day 7, dose 1

   MedDRA: Office visit, Pain in jaw, Vitreous detachment — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

   Free text: Systemic reaction (other): Left side jaw pain, vitreous detachment in both eyes · Healthcare visit (other): Visited my eye doctor, said its normal for my age, unknown if related to shot

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-03-18
   Report sent to call center — day 7, dose 1

   Get care from a doctor or other healthcare professional

   no matching call case
5. 2021-03-21
   Survey response — day 14, dose 1

   MedDRA: Pain in jaw, Tinnitus — Feeling: Good

   Free text: Tinnitus on and off, but it does stop after a little while. Its just annoying. Jaw pain still persists.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-03-28
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
7. 2021-04-05
   Health check-in — day 28, dose 1

   Feeling: Good

   Adult check-in
8. 2021-04-08
   Dose 2 — Moderna
9. 2021-04-11
   Survey response — days 1–6 daily, dose 2

   MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

   Free text: Lack of appetite. Symptoms were severe day after vac, moderate 2nd day, mild today.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-04-12
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Redness · Headache

    Adult check-in
11. 2021-04-13
    Survey response — days 1–6 daily, dose 2

    MedDRA: Headache, Pain, Pyrexia — Feeling: Good · Site: Redness

    Free text: Evening of and following two days after shot I had severe headache, severe full body pain, fever, and zero appetite, but no jaw pain on this shot. Please log those symptoms as I didnt get a check in link on those days. Thank you.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-04-14
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Redness · None

    Adult check-in
13. 2021-04-17
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
14. 2021-07-10
    Survey response — 3 months, dose 2

    MedDRA: Emergency care, Hospitalisation, Myocardial infarction, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

    Free text: Symptoms: Had severe RA flare and heart attack. · Healthcare visit (other): 3 hospitals incl cardiac unit

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
15. 2021-07-10
    Report sent to call center — 3 months, dose 2

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

    1 call case(s)
16. 2021-07-22
    Call 1 — Left Voicemail
17. 2021-07-23
    Call successful

    Completed over the phone
18. 2021-10-21
    Dose 3 — Moderna
19. 2021-10-26
    Health check-in — days 1–6 daily, dose 3

    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

    Adult check-in
20. 2021-11-06
    Survey response — day 14, dose 3

    MedDRA: Asthma, Cough, Headache — Feeling: Fair

    Free text: Cough and asthma today, headache yesterday and today.

    MedDRA releases: 2024-11 · check-in free text available
21. 2021-11-18
    Health check-in — day 28, dose 3

    Feeling: Good

    Adult check-in
22. 2021-11-28
    Survey response — day 35, dose 3

    MedDRA: Migraine, Paraesthesia, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization

    Free text: Symptoms: Tingling in both hands and feet, migraines · Healthcare visit (other): Referral to neurologist

    MedDRA releases: 2024-11 · check-in free text available
23. 2021-11-28
    Report sent to call center — day 35, dose 3

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

    Telehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
24. 2021-11-29
    Call successful

    Participant prefers to complete VAERS report online
25. 2021-12-02
    Health check-in — day 42, dose 3

    Feeling: Fair

    Adult check-in
26. 2022-10-22
    Survey response — 12 months, dose 3

    MedDRA: Fatigue, Pain in extremity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

    Free text: Symptoms: Moderate fatigue, possibly related, Severe pain in forearm at night, likely unrelated, · Healthcare visit (other): Will see Dr on Monday

    MedDRA releases: 2024-11 · check-in free text available
27. 2022-10-22
    Report sent to call center — 12 months, dose 3

    Get care from a doctor or other healthcare professional

    1 call case(s)
28. 2022-10-25
    Call successful

    Does not wish to fill out VAERS report