4KA-23583-09474

Timeline

1. 2020-12-30
   Registered in v-safe
2. 2020-12-30
   Dose 1 — Moderna
3. 2020-12-30
   Health check-in — day 0, dose 1

   Feeling: Good · None

   Adult check-in
4. 2020-12-31
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · None

   Adult check-in
5. 2021-01-01
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · None

   Adult check-in
6. 2021-01-02
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · None

   Adult check-in
7. 2021-01-03
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-01-04
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
9. 2021-01-06
   Health check-in — day 7, dose 1

   Feeling: Good · None

   Adult check-in
10. 2021-01-13
    Health check-in — day 14, dose 1

    Feeling: Good

    Adult check-in
11. 2021-01-21
    Survey response — day 21, dose 1

    MedDRA: Lymphadenopathy, Pain, Tenderness, Tendon disorder — Feeling: Good

    Free text: Enlarged lymph node and tendon in armpit of arm where injection was given. Pain and tenderness to the touch

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-01-29
    Dose 2 — Moderna
13. 2021-02-03
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Itching · None

    Adult check-in
14. 2021-02-04
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Itching · None

    Adult check-in
15. 2021-02-05
    Health check-in — day 7, dose 2

    Feeling: Good · Site: Itching · None

    Adult check-in
16. 2021-02-12
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
17. 2021-02-19
    Survey response — day 21, dose 2

    MedDRA: Arthralgia, Insomnia, Neck pain, Pain in extremity, Sleep disorder — Feeling: Good

    Free text: Left arm (injected arm) hurts near the shoulder joint and neck. Started yesterday and hurt during the night, kept me from sleeping.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
18. 2021-02-26
    Survey response — day 28, dose 2

    MedDRA: Bursitis, Inflammation — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

    Free text: Inflammation/bursitis in shoulder of arm of infection. Very painful at times and have consulted with my PCP.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
19. 2021-02-26
    Report sent to call center — day 28, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
20. 2021-03-05
    Survey response — day 35, dose 2

    MedDRA: Arthralgia — Feeling: Good

    Free text: Pain in left shoulder has worsened

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
21. 2021-03-12
    Survey response — day 42, dose 2

    MedDRA: Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Worsened pain in left arm

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
22. 2021-03-12
    Report sent to call center — day 42, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
23. 2021-04-30
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
24. 2021-08-01
    Health check-in — 6 months, dose 2

    Feeling: Good

    Adult check-in
25. 2021-09-04
    Call successful

    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)