32F-49071-69412

Timeline

1. 2021-02-09
   Dose 1 — Moderna
2. 2021-02-20
   Registered in v-safe
3. 2021-02-20
   Survey response — day 7, dose 1

   MedDRA: Erythema, Injection site erythema, Injection site mass, Injection site pruritus, Injection site swelling, Injection site warmth, Lymph node pain, Lymphadenopathy, Peripheral swelling, Pre-existing disease, Pruritus, Skin warm, Swelling, Tenderness, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

   Free text: Starting on 2/18/21, I had an area on my R arm approx. 1 medal & anterior from my injection site that was very itchy & noted a small pea size lump deep in the tissue. This area was red, warm & larger the morning of 2/19/21. By late afternoon, that area enlarged to approx. 2 diameter & I noted an area of swelling & warmth on my right forearm, spanning an area of approx. 5x3 distally from posterior to anterior which became itchy by 2/20/21. Last night 2/19/21, I noted an area on my left arm proximal to the antecubital 3x1.5 that began as itchy but developed redness and warmth as of 2/20/21. These area are tender to touch. I also developed discomfort in my left posterior, right anterior lymph nodes later in the evening 2/19/21 and this morning 2/20/21, note my right supraclavicular lymph node is tender and the initial area of redness, swelling and tenderness has spread onto my torso approx. 3 below my right supraclavicular lymph node and above my axilla. I have occasional vertigo which is managed with meclizine. I dont know if this is coincidental or not but have been experiencing vertigo since the morning of 2/19/21 into 2/20/21 and taking my meclizine with little relief

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-02-20
   Report sent to call center — day 7, dose 1

   Get care from a doctor or other healthcare professional

   1 call case(s)
5. 2021-02-23
   Health check-in — day 14, dose 1

   Feeling: Fair

   Adult check-in
6. 2021-03-02
   Survey response — day 21, dose 1

   MedDRA: Injection site erythema — Feeling: Fair

   Free text: The original area anterior and medial to the injection site is still red with a 1mm nodule

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-03-09
   Dose 2 — Moderna
8. 2021-03-13
   Health check-in — days 1–6 daily, dose 2

   Feeling: Good · Site: Pain · None

   Adult check-in
9. 2021-03-17
   Health check-in — day 7, dose 2

   Feeling: Good · None

   Adult check-in
10. 2021-03-23
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
11. 2021-03-30
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
12. 2021-04-06
    Health check-in — day 28, dose 2

    Feeling: Good

    Adult check-in
13. 2021-04-13
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
14. 2021-08-09
    Call successful

    Participant prefers to complete VAERS report online