4FT-12484-45321

Timeline

1. 2021-03-19
   Registered in v-safe
2. 2021-03-19
   Dose 1 — Moderna
3. 2021-03-19
   Health check-in — day 0, dose 1

   Feeling: Good · None

   Adult check-in
4. 2021-03-20
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
5. 2021-03-21
   Survey response — days 1–6 daily, dose 1

   MedDRA: Muscular weakness — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

   Free text: Experienced these yesterday after I did checkin also leg weakness . Today feel fine

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-03-22
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-03-23
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-03-24
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · None

   Adult check-in
9. 2021-04-16
   Dose 2 — Moderna
10. 2021-04-16
    Survey response — day 28, dose 1

    MedDRA: Rash pruritic — Feeling: Fair

    Free text: In the past week or so my leg has a purple rash on it below the knee and its spreading. My doctor doesnt know what it is and he wants me to come in and get a biopsy. it itches around the rash

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-04-23
    Survey response — day 7, dose 2

    MedDRA: Office visit, Rash — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

    Free text: Systemic reaction (other): I developed leg rash 2-1/2 weeks after 1stshot got arm rash2 days after 2nd along with leg rash · Healthcare visit (other): Office visit w/general doctor follow up with dermatologist

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-04-23
    Report sent to call center — day 7, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
13. 2021-04-30
    Survey response — day 14, dose 2

    MedDRA: Rash — 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: Rash spread to my arms inner legs & stomach. My doctor took a punch biopsy results couldnt that rule out the vaccine shot. Since thats the only differential For me in months believe shot was cause Rash finally disappearing not itchy almost 2 w

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-04-30
    Report sent to call center — day 14, dose 2

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

    1 call case(s)
15. 2021-05-10
    Health check-in — day 21, dose 2

    Feeling: Fair

    Adult check-in
16. 2022-04-01
    Call successful

    Participant prefers to complete VAERS report online