4FA-31334-47857

Timeline

1. 2021-01-22
   Dose 1 — Moderna
2. 2021-01-25
   Registered in v-safe
3. 2021-01-25
   Survey response — days 1–6 daily, dose 1

   MedDRA: Anaphylactic reaction, Dyspnoea, Self-medication, Throat tightness, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

   Free text: Systemic reaction (other): My throat closed up causing difficulty breathing · Healthcare visit (other): I was told to do to the ER but wasnt well enough to get there. Took benadryl

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-01-25
   Report sent to call center — days 1–6 daily, dose 1

   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)
5. 2021-01-26
   Survey response — days 1–6 daily, dose 1

   MedDRA: Dysphagia, Fatigue, Impaired work ability, Medical counselling, Obstructive airways disorder, Oropharyngeal pain, Pyrexia, Self-medication, Throat tightness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

   Free text: Systemic reaction (other): Tightening of the throat with extreme pain. Can barely swallow. Had high fever yesterday with my throat constricted my airway. I can breath but its so painful to swallow. Extreme fatigue. Ive missed 2 days of work this week. All symptoms were very sudden and intense then suddenly lifted as my fever broke last night. An RN in my drs office ordered me to tje the ER yesterday to get an epishot. I was too scared of covid to go. · Healthcare visit (other): I was ordered to the ER because of my restricted airway. I was too afraid to go as i could still breath but with constriction. I took benadrl and at the second full dose thw airway improved. If it worsened even a little i would hav3 gone to the ER as ordered.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-01-26
   Report sent to call center — days 1–6 daily, dose 1

   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)
7. 2021-01-27
   Survey response — days 1–6 daily, dose 1

   MedDRA: Aphthous ulcer, Bronchospasm, Impaired work ability, Odynophagia, Oropharyngeal pain — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

   Free text: Painful to swallow or drink water or eat due to pain in throat after my airway constricted a few days ago. Now i have a canker sore on my tongue. Ive never jad that before. Ive missed 3 days of work now.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-01-29
   Survey response — day 7, dose 1

   MedDRA: Oropharyngeal blistering, Oropharyngeal pain, Throat tightness — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

   Free text: Sore throat since my throat constricted and blisters

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-02-05
   Health check-in — day 14, dose 1

   Feeling: Fair

   Adult check-in
10. 2021-02-24
    Dose 2 — Moderna
11. 2021-02-25
    Health check-in — days 1–6 daily, dose 2

    Feeling: Poor · Site: Pain, Itching · Chills, Headache, Fatigue or tiredness, Nausea

    Adult check-in
12. 2021-02-26
    Health check-in — days 1–6 daily, dose 2

    Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

    Adult check-in
13. 2021-02-27
    Survey response — days 1–6 daily, dose 2

    MedDRA: Throat tightness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

    Free text: Mild constricting of the airway again. After first shot i need an epipen

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-02-28
    Survey response — days 1–6 daily, dose 2

    MedDRA: Fatigue, Palpitations — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

    Free text: I forgot to record that on the second day of both vaccines i had severe insomnia and did not sleep for 48 hours and i never do that. I also experienced racing heart that was unbearable coupled with fatigue

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
15. 2021-03-02
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Fatigue or tiredness

    Adult check-in
16. 2021-06-07
    Call successful

    Participant prefers to complete VAERS report online