4VX-19014-91199

Timeline

1. 2021-02-11
   Dose 1 — Moderna
2. 2021-02-21
   Registered in v-safe
3. 2021-02-21
   Survey response — day 7, dose 1

   MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

   Free text: Opposite arm rash

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-02-28
   Survey response — day 14, dose 1

   MedDRA: Peripheral swelling, Rash — Feeling: Fair · Be unable to do your normal daily activities

   Free text: Rash is still present. Swelling of hands started approximately day eight. Swelling mostly during the 12 AM to eight AM timeframe. Is attacking area of hand where I have arthritis. Lessens after taking Tylenol arthritis medication.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-03-04
   Survey response — day 21, dose 1

   MedDRA: Hypoaesthesia, Joint swelling, Rash — Feeling: Fair · Be unable to do your normal daily activities

   Free text: Rash is spreading to other parts of my body. Hands continue to swell in finger joints. Numbness in finger tips.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-03-11
   Dose 2 — Moderna
7. 2021-08-12
   Survey response — 6 months, dose 1

   MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

   Free text: Symptoms: Outbreaks of a rash since four days after first shot · Healthcare visit (other): Dermatologist

   MedDRA releases: 2021-09,2024-11 · check-in free text available
8. 2021-08-12
   Report sent to call center — 6 months, dose 1

   Get care from a doctor or other healthcare professional

   1 call case(s)
9. 2021-11-11
   Dose 3 — Moderna
10. 2021-12-01
    Call successful

    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
11. 2022-02-11
    Survey response — 12 months, dose 1

    MedDRA: Pruritus, Rash, Tendon pain — Feeling: Fair

    Free text: Ongoing rash breakouts and soreness in both archieles tendons near ankles. Intense itch when rash occurs.

    MedDRA releases: 2024-11 · check-in free text available
12. 2022-11-12
    Survey response — 12 months, dose 3

    MedDRA: Bacterial infection, Sinusitis — 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

    Free text: Bacterial infection of sinus

    MedDRA releases: 2024-11 · check-in free text available
13. 2022-11-12
    Report sent to call center — 12 months, dose 3

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

    Telehealth, virtual health, or email health consultation · 1 call case(s)
14. 2022-11-14
    Call 1 — Left Voicemail