3DA-19659-98410

Timeline

1. 2021-03-29
   Registered in v-safe
2. 2021-03-29
   Dose 1 — Moderna
3. 2021-03-29
   Survey response — day 0, dose 1

   MedDRA: Adverse reaction — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Fatigue or tiredness, Nausea, Vomiting, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

   Free text: My throat was shitting down immediately after the shot. I think Im allergic to lipids they used.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-03-30
   Survey response — days 1–6 daily, dose 1

   MedDRA: Condition aggravated, Pre-existing disease, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

   Free text: I had to take extra Benadryl, rescue inhaler 2 puffs every 4 hrs. My peak flow was in red zone today.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-03-31
   Survey response — days 1–6 daily, dose 1

   MedDRA: Dyspnoea, Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

   Free text: Still using rescue inhaler 2 puffs every 4 hrs. Did nebulizer once. Ear ringing is bad in both ears. Peak flow was in low yellow zone today.

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

   MedDRA: Headache, Inflammation, Oropharyngeal pain, Pain in extremity, Tinnitus — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Vomiting, Diarrhea · Be unable to do your normal daily activities

   Free text: My toes hurts. Im still doing 2 puffs of rescue inhaler every 4 hrs, since my peak flow is still in yellow zone. Throat still somewhat hurting from inflammation I got immediately after the vaccine. Ear ringing is consistent which I think leading to my headache.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-04-03
   Survey response — days 1–6 daily, dose 1

   MedDRA: Diarrhoea, Dyspnoea, Pre-existing disease — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

   Free text: Still having difficulty breathing so doing 2 puffs of rescue inhaler every 4 hrs & 2 nebulizers a day. Diarrhea got worsened for some reason.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-04-04
   Survey response — days 1–6 daily, dose 1

   MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

   Free text: My peak flow is still in yellow zone so Im still doing 2 puffs of rescue inhaler every 4 hrs. My feet are swollen.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-04-05
   Survey response — day 7, dose 1

   MedDRA: Tinnitus — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

   Free text: Peak flow is still low yellow zone. Continue to do 2 puffs rescue inhaler every 4 hrs, 2 nebulizers. My ear ringing had been constant annoyance from the day I got vaccinated. I think its contributing to headache as well.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-04-12
    Survey response — day 14, dose 1

    MedDRA: Diarrhoea, Dyspnoea, Headache, Peak expiratory flow rate abnormal, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Still not breathing well. My peak flow is still at yellow zone. Prior to vaccinenit was Green zone.Diarrhea, headache, ear ringing still persisting.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-04-19
    Survey response — day 21, dose 1

    MedDRA: Anxiety, Diarrhoea, Peak expiratory flow rate decreased, Throat tightness, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Still having diarrhea.Still yellow low zone of peak flow.Still having to do rescue inhaler and nebulizer.Ear ringing continues its constant.Bit anxious of second dose on 26th cuz initial reaction was my throat shutting down.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-04-26
    Dose 2 — Moderna
13. 2021-04-26
    Survey response — day 0, dose 2

    MedDRA: Anaphylaxis treatment, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

    Free text: For second dose, I had to use 2 epipen, took 8 Benadryl, prescribed one 50g prednisone (for a week), had to use 6 puffs of rescue inhaler, was put on oxygen mask, then nose tube on oxygen as I had anaphylaxis due to PEG allergy.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-04-27
    Survey response — days 1–6 daily, dose 2

    MedDRA: Anaphylactic reaction, Asthma, Cough, Dyspnoea, Oropharyngeal pain, Pre-existing disease, Self-medication, Vomiting — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

    Free text: Puking hourly, after anaphylaxis yesterday to vaccine (PEG), my asthma got worsened. Did rescue inhalers, taking Benadryl, Zyrtec, Pepcid, lots of mucus coughing up. Hard to breathe did nebulizers. Sore throat.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
15. 2021-04-28
    Survey response — days 1–6 daily, dose 2

    MedDRA: Asthma, Pain in extremity, Peripheral swelling, Pre-existing disease, Rash, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

    Free text: After vaccine, had anaphylaxis and now Im having asthma attacks. Taking lots of Benadryl cuz rashes keep coming back. My feet are swollen and very painful.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
16. 2021-04-29
    Survey response — days 1–6 daily, dose 2

    MedDRA: Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

    Free text: Still having asthma attack after anaphylaxis right after the vaccine. Peak flow red zone, pulse ox 94 with nebulizer, and rescue inhaler. Continuing with Benadryl, prednisone, Zyrtec, Pepcid, also had partial seizure yesterday and today. Arm on the injection side is twitching often as well.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
17. 2021-04-30
    Survey response — days 1–6 daily, dose 2

    MedDRA: Muscle twitching, Partial seizures, Pre-existing disease, Seizure, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

    Free text: Partial seizure and regular seizure last night and night before. Arm on the injected side twitches as well that last about 5-10 min(other than partial seizure). Peak flow red, asthma since anaphylaxis, had to do nebulizer, rescue inhaler, Benadryl, Zyrtec, Pepcid and Claritin in taking.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
18. 2021-05-01
    Survey response — days 1–6 daily, dose 2

    MedDRA: Anaphylaxis treatment, Diarrhoea, Increased viscosity of upper respiratory secretion, Pain in extremity, Peripheral swelling, Pre-existing disease, Rash, Seizure, Self-medication, Throat irritation, Vertigo — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

    Free text: Taking Imodium since diarrhea hourly wasnt my choice. Feet swollen, irritation of throat continues with lots of mucus, had vertigo, seizure (even with seizure pill), feet swollen hurtful. Peak flow red, nebulizer, rescue inhaler, one epipen as rashes inside throat came back. For diarrhea got Imodium but not stoping

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
19. 2021-05-04
    Survey response — day 7, dose 2

    MedDRA: Chills, Fatigue, Feeling abnormal, Headache, Peak expiratory flow rate decreased, Seizure, Vomiting, Wheezing — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

    Free text: Peak flow sill low red. Getting exhausted puking. Wheezing, chills, brain fog severe, I think I took okay but not sure. Massive headache and seizure

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
20. 2021-05-29
    Call 1 — Left Voicemail
21. 2021-05-31
    Survey response — day 35, dose 2

    MedDRA: Amnesia, Memory impairment, Peak expiratory flow rate decreased, Wheezing — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

    Free text: Altered memory status.Massive memory loss from the day after cams came to on 5/22. But to me it should be day after thinking my phone broke. Also memory not retaining however dreaded o can retain. I want my memory back. Peakfkow low with wheezing

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
22. 2021-06-07
    Survey response — day 42, dose 2

    MedDRA: Dyspnoea, Memory impairment, Peak expiratory flow rate decreased, Pyrexia, Seizure, Unevaluable event, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Symptoms: My memory from the day I got shot till I came to on 5/22 is completely gone. Only thing I remember is that I tried to write email to friends that I was having big seizures, and vomiting. Peak flow and fev1 is worse and cant breathe well · Healthcare visit (other): I dont remember if I did in the email I said Im going to hospital but I also have fear of med debt so immature not sure till bill comes

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
23. 2021-06-07
    Report sent to call center — day 42, dose 2

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

    1 call case(s)
24. 2021-07-26
    Survey response — 3 months, dose 2

    MedDRA: Amnesia, Asthma, Brain fog, Bronchitis, Memory impairment, Pyrexia, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

    Free text: Symptoms: From 4/26 to 5/23 I have lost memory. Not memory fog, I apparently did something to sim and factory reset my phone, I was writing email Im puking side of my head is that bad? To my friends. June memory is blurry as well I dont remember. Peakfko · Healthcare visit (other): I had no memory of appt in June so skipped : o had fever and covid like symptoms again then added asthma and bronchitis

    MedDRA releases: 2021-09,2024-11 · check-in free text available
25. 2021-07-26
    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)
26. 2021-08-17
    Call successful

    Completed over the phone
27. 2021-10-25
    Survey response — 6 months, dose 2

    MedDRA: Amnesia, Brain fog, Fall, Fatigue, Memory impairment, Wheezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

    Free text: Memory loss not just memory fog. My memory fog consisted to be severe like I forget words while I can describe like 4 wheel ride point a to b for car. I forget where I put rescue inhalers. Wheezing are continuing and fatigue is same.fell

    MedDRA releases: 2024-11 · check-in free text available