4RC-31840-85415

Timeline

1. 2021-01-25
   Dose 1 — Moderna
2. 2021-01-26
   Registered in v-safe
3. 2021-01-27
   Survey response — days 1–6 daily, dose 1

   MedDRA: Erythema, Neck pain, Pain in extremity, Renal pain, Skin warm, Swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work, 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: I still have pain, redness, heat, swelling, and rash along the back of my neck into my hairline. Its better than last night but still bad. My kidneys have also been aching since last night. I also forgot to mention initially that I felt pain shoot down my left arm into my hand while being given the vaccine, meaning during the needle going in deeply into my thin arm and back out.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-01-27
   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. 2021-01-28
   Survey response — days 1–6 daily, dose 1

   MedDRA: Balance disorder, Erythema, Eye pain, Headache, Impaired work ability, Joint range of motion decreased, Neck pain, Pain, Pain in extremity, Sensitive skin, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

   Free text: My neck symptoms have improved but I continue to have pain, some swelling and redness, and hypersensitivity along the posterior/superior aspect of my neck into my hairline and occipital region. My head still hurts and eyes still hurt to move (but these are less painful today) and I still feel slightly unsteady at times. Cervical extension is still difficult and a few times today Ive had random shooting pains down both of my arms which only last forever a few seconds. When someone gently stroked over the back of my neck it caused a painful sensation all the way down my spine and legs that caused me to drop to my knees. I felt ok again after 5-10 minutes. I was able to go to work today but unable to finish my entire day of treating patients.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-01-30
   Survey response — days 1–6 daily, dose 1

   MedDRA: Balance disorder, Dry skin, Erythema, Headache, Neck pain, Pruritus, Swelling — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

   Free text: I did not get to enter my feedback yesterday, sorry, but I was able to work an entire day yesterday but did have some mild pain and itching along my neck with minimal redness and swelling, and I still felt slightly off balanced at times. Today I mostly still have neck pain and a headache but my neck is very minimally swollen and dry.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-01-31
   Survey response — days 1–6 daily, dose 1

   MedDRA: Lymphadenopathy, Neck pain, Swelling — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site

   Free text: Very minimal pain and swelling along the back of my neck.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-02-01
   Health check-in — day 7, dose 1

   Feeling: Good · Headache

   Adult check-in
9. 2021-02-08
   Health check-in — day 14, dose 1

   Feeling: Good

   Adult check-in
10. 2021-02-15
    Survey response — day 21, dose 1

    MedDRA: Injection site pain — Feeling: Good

    Free text: My arm where I had the shot became more sore suddenly the past few days.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-02-22
    Health check-in — day 28, dose 1

    Feeling: Good

    Adult check-in
12. 2021-03-03
    Survey response — day 35, dose 1

    MedDRA: Immunisation reaction, Rash — Feeling: Good

    Free text: I forgot to mention that last wk I had a rash along my lumbosacral spine that lasted for ~6 days. I was unable to get my 2nd dose due to having an allergic reaction to the 1st dose & my doctor instructed me not to get the 2nd dose or other the others

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
13. 2021-03-08
    Health check-in — day 42, dose 1

    Feeling: Good

    Adult check-in
14. 2021-04-26
    Survey response — 3 months, dose 1

    MedDRA: Emergency care, Office visit, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

    Free text: Symptoms: Poison ivy requiring prednisone. Sudden onset of severe TTP along my upper abdomen below sternum and along right upper quadrant of abdomen for 12 days now and did go to ER for this; had US and CT scan of abdomen showing kidney stones. · Healthcare visit (other): Acupuncture also

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
15. 2021-04-26
    Report sent to call center — 3 months, 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)
16. 2021-06-14
    Call successful

    Reported to VAERS voluntarily prior to GDIT contact
17. 2021-07-26
    Survey response — 6 months, dose 1

    MedDRA: Brain fog, Gastric ulcer, Migraine, Nausea, Nephrolithiasis, Renal disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

    Free text: Stomach ulcer.Nausea.Continued increased migraine headaches and mental fog.Continued increased difficulty with my kidney function and passing stones.

    MedDRA releases: 2021-09,2024-11 · check-in free text available
18. 2021-07-26
    Report sent to call center — 6 months, dose 1

    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

    1 call case(s)
19. 2021-07-29
    Call 1 — Left Voicemail
20. 2021-08-05
    Call successful

    Reported to VAERS voluntarily prior to GDIT contact
21. 2022-01-25
    Survey response — 12 months, dose 1

    MedDRA: Back pain, Brain fog, Chest pain, Constipation, Cough, Dyspnoea, Facial pain, Fatigue, Headache, Insomnia, Migraine, Nausea, Oropharyngeal pain, Pain, Paranasal sinus discomfort, Pyrexia, Respiratory tract congestion, Unevaluable event, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

    Free text: Symptoms: torso pain (kidneys esp.), headache & migraine x 3 days, mod. sinus pressure w/ facial pain & congestion, sore throat, minor cough, chest pain & diff. breathing, extreme fatigue, diff. sleeping, nausea & vomiting, constipation, brain fog, fever, · Healthcare visit (other): Work site

    MedDRA releases: 2024-11 · check-in free text available
22. 2022-01-25
    Report sent to call center — 12 months, dose 1

    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

    1 call case(s)
23. 2022-01-28
    Call 1 — Left Voicemail