4SR-55258-55843

Timeline

1. 2020-12-22
   Dose 1 — Moderna
2. 2021-01-06
   Registered in v-safe
3. 2021-01-06
   Survey response — day 14, dose 1

   MedDRA: Injection site erythema, Injection site pruritus, Injection site urticaria, Injection site warmth — Feeling: Good

   Free text: One week after I received my injection I developed intense itching and hives at the injection site. This was accompanied by warmth and redness around the injection site at approximately 7 to 10cm in diameter. It has come and gone daily since that day

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-01-15
   Dose 2 — Moderna
5. 2021-01-26
   Survey response — day 7, dose 2

   MedDRA: Asthenia, Fatigue, Injection site pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

   Free text: 24 hours after my injection I was very fatigued had a total lack of energy. Had a fairly significant pain at the injection site for which I took Tylenol and Motrin throughout that second 24 hours. Since that time the injection site has gotten increasingly better. The injection site is completely normal now and I have no symptoms.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-01-29
   Health check-in — day 14, dose 2

   Feeling: Good

   Adult check-in
7. 2021-02-12
   Health check-in — day 28, dose 2

   Feeling: Good

   Adult check-in
8. 2021-02-19
   Health check-in — day 35, dose 2

   Feeling: Good

   Adult check-in
9. 2021-02-26
   Survey response — day 42, dose 2

   MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities

   Free text: Right arm and shoulder pain

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-04-17
    Survey response — 3 months, dose 2

    MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · 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: Arm and shoulder pain in my right arm

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-04-17
    Report sent to call center — 3 months, dose 2

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

    1 call case(s)
12. 2022-01-15
    Health check-in — 12 months, dose 2

    Feeling: Good

    Adult check-in
13. 2022-04-01
    Call successful

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