4JF-14634-77428

Timeline

1. 2020-12-28
   Dose 1 — Moderna
2. 2021-01-05
   Registered in v-safe
3. 2021-01-05
   Survey response — day 7, dose 1

   MedDRA: Eye swelling — Feeling: Fair

   Free text: swollen eye

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-01-11
   Survey response — day 14, dose 1

   MedDRA: Dry eye, Erythema, Hypersensitivity, Skin burning sensation — Feeling: Good · Be unable to do your normal daily activities

   Free text: Allergic reaction in both eyes. Burning skin, dryness and redness

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-01-11
   Report sent to call center — day 14, dose 1

   Be unable to do your normal daily activities

   1 call case(s)
6. 2021-01-18
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
7. 2021-01-25
   Dose 2 — Moderna
8. 2021-01-26
   Survey response — days 1–6 daily, dose 2

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

   Free text: Migraine -worse than usual ones

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-01-27
   Health check-in — days 1–6 daily, dose 2

   Feeling: Fair · Fever · Headache, Muscle or body aches

   Adult check-in
10. 2021-01-28
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Pain · Headache

    Adult check-in
11. 2021-01-30
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
12. 2021-01-31
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Headache

    Adult check-in
13. 2021-02-03
    Health check-in — day 7, dose 2

    Feeling: Good · Headache

    Adult check-in
14. 2021-02-08
    Survey response — day 14, dose 2

    MedDRA: Eyelid irritation, Pruritus, Skin exfoliation, Swelling of eyelid — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

    Free text: On 2/3 started getting itchy eyelids. Woke on 2/4 with swollen and burning eyelids. burning has lasted until today, 2/8. The eyelids/dermatitis is now healing and the eyelids are peeling from being so dry. happened to me on 1/6/20 after 1st dose.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
15. 2021-02-08
    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)
16. 2021-02-17
    Survey response — day 21, dose 2

    MedDRA: Eye irritation, Eye pruritus, Eye swelling, Eyelid irritation, Eyelids pruritus — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

    Free text: Swollen eyes, burning and itching eyelids again

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
17. 2021-02-17
    Report sent to call center — day 21, dose 2

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

    1 call case(s)
18. 2021-02-22
    Health check-in — day 28, dose 2

    Feeling: Fair

    Adult check-in
19. 2021-07-19
    Call 1 — Left Voicemail
20. 2021-11-13
    Call successful

    Participant prefers to complete VAERS report online
21. 2022-01-25
    Health check-in — 12 months, dose 2

    Feeling: Good

    Adult check-in