3RA-15827-55209

Timeline

1. 2021-02-18
   Dose 1 — Moderna
2. 2021-02-21
   Registered in v-safe
3. 2021-02-21
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

   Adult check-in
4. 2021-02-22
   Survey response — days 1–6 daily, dose 1

   MedDRA: Injection site urticaria — Feeling: Good · Site: Pain, Redness, Swelling, Itching

   Free text: Hives on left upper arm at injection site

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-02-23
   Survey response — days 1–6 daily, dose 1

   MedDRA: Palpitations, Tinnitus, Urticaria — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

   Free text: Loud roaring in my head still have hives heart palpitations

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-02-24
   Survey response — days 1–6 daily, dose 1

   MedDRA: Tinnitus — Feeling: Good · Site: Pain, Redness, Itching · Headache, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

   Free text: Fever of 100 last night still have roaring and ringing in head

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-02-24
   Report sent to call center — days 1–6 daily, dose 1

   Get care from a doctor or other healthcare professional

   1 call case(s)
8. 2021-02-25
   Survey response — day 7, dose 1

   MedDRA: Immunisation reaction, Injection site discolouration, Injection site erythema, Injection site pain, Injection site urticaria, Office visit — Feeling: Good · Site: Pain, Itching · Headache

   Free text: The redness in my arm has turned to a deep purple even the hives the pain seems to have gone down deeper in my arm it is about a 9 inch area from injection site to bend in my left arm. I saw my dr yesterday and was told this was the worst covid arm so far they had seen they said I should have come earlier and I received a hip injection I dont understand what caused this my husband was vaccinated same day and no reaction on his arm

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-03-11
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
10. 2021-05-20
    Health check-in — 3 months, dose 1

    Feeling: Good

    Adult check-in
11. 2021-08-19
    Health check-in — 6 months, dose 1

    Feeling: Good

    Adult check-in
12. 2021-08-26
    Call 1 — Left Voicemail
13. 2022-02-18
    Survey response — 12 months, dose 1

    MedDRA: Oropharyngeal pain, Pain, Sinus pain — Feeling: Good · 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: Sinus pain mild body aches sore throat

    MedDRA releases: 2024-11 · check-in free text available
14. 2022-02-18
    Report sent to call center — 12 months, dose 1

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

    Outpatient clinic or urgent care clinic visit · 1 call case(s)
15. 2022-02-21
    Call 1 — Left Voicemail