2TR-73161-28989

Timeline

1. 2021-01-06
   Dose 1 — Moderna
2. 2021-02-03
   Dose 2 — Moderna
3. 2021-03-30
   Registered in v-safe
4. 2021-05-05
   Health check-in — 3 months, dose 2

   Feeling: Good

   Adult check-in
5. 2021-11-04
   Dose 3 — Moderna
6. 2022-02-06
   Survey response — 3 months, dose 3

   MedDRA: Medical counselling, Office visit, Self-medication, Urticaria — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

   Free text: Symptoms: I started experiencing severe hives 9 days after I received my Moderna booster dose. The condition is persisting even now. Upon advice of an allergy specialist I am taking 2 allegra 180 mg and 2 pepcid 20 mg tablets daily. · Healthcare visit (other): On 11/15/21 my pcp prescribed predisone for 14 days to control my hives. In addition to the steroid I was asked to take allegra and pepcid both of which I am taking daily now.

   MedDRA releases: 2024-11 · check-in free text available
7. 2022-02-06
   Survey response — 12 months, dose 2

   MedDRA: Emergency care, Lip swelling, Office visit, Pruritus, Rash, Self-medication, Swelling, Swelling face, Urticaria — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

   Free text: Symptoms: On 11/13/21 I started experiencing severe hives with intense itching, rash, and swelling. At 3 am on 11/14/21 I started experiencing swelling of my jaws and lips. At that time I went to the ER. Though I felt better for a few hours it got worse later. · Healthcare visit (other): My primary care physician referred me to an allergy specialist. All recommended tests so far are normal including allergy tests. I still experience itching. I am taking two allegra 180 mg tablets and two pepcid 20 mg tablets to control my hives.

   MedDRA releases: 2024-11 · check-in free text available
8. 2022-02-06
   Report sent to call center — 12 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

   Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
9. 2022-02-06
   Report sent to call center — 3 months, 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

   Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
10. 2022-02-11
    Call successful

    Participant prefers to complete VAERS report online