2KH-41200-87185

Timeline

1. 2021-02-13
   Dose 1 — Moderna
2. 2021-02-14
   Registered in v-safe
3. 2021-02-14
   Survey response — days 1–6 daily, dose 1

   MedDRA: Hypoaesthesia, Hypoaesthesia oral — Feeling: Poor · Site: Pain, Itching · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

   Free text: My lips and tip of the are numb

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-02-17
   Survey response — days 1–6 daily, dose 1

   MedDRA: Visual impairment — Feeling: Fair · Muscle or body aches, Nausea, Diarrhea · Be unable to do your normal daily activities

   Free text: Change in vision, i can now not see far away, but an able to see up close

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-02-18
   Survey response — days 1–6 daily, dose 1

   MedDRA: Visual impairment — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

   Free text: My sight remains changed. Can not ser clearly a far

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-02-19
   Survey response — days 1–6 daily, dose 1

   MedDRA: Clumsiness, Vision blurred — Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

   Free text: I feel clumsy, hazed and my eye site is blurry

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-02-22
   Survey response — day 7, dose 1

   MedDRA: Blindness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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: My vision has not come back to normal

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-02-22
   Report sent to call center — day 7, dose 1

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

   1 call case(s)
9. 2021-02-28
   Survey response — day 14, dose 1

   MedDRA: Blood glucose increased, Unevaluable event — Feeling: Poor · 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: Symptoms: Never had problems with glucose and it came back @420 last Thursday. Never been a diabetic and no diabetes in the family. · Healthcare visit (other): And went in for labs

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-02-28
    Report sent to call center — day 14, dose 1

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

    1 call case(s)
11. 2021-03-06
    Survey response — day 21, dose 1

    MedDRA: Blood glucose increased, Fatigue, Unevaluable event — 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, Outpatient clinic or urgent care clinic visit

    Free text: Symptoms: My sugar spiked to 429 without having diabetes. I have fatigue and barely getting out of it now. · Healthcare visit (other): My doctor was worried i would end up in the er over the weekend

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-03-06
    Report sent to call center — day 21, dose 1

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

    1 call case(s)
13. 2021-09-27
    Call successful

    Participant prefers to complete VAERS report online