4W8-82931-56516

Timeline

1. 2021-01-07
   Dose 1 — Moderna
2. 2021-01-28
   Registered in v-safe
3. 2021-01-28
   Survey response — day 21, dose 1

   MedDRA: Nausea, Urticaria, Vomiting — 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

   Free text: Hives / breakout, starting 2 days after first Moderna Vaccine. Intermittent nasea and vomiting up until 1/23/21. Small itchy hives still spreading throughout trunk area and lower back. Initial hives/ breakout not going away. Fatigue as well.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-01-28
   Report sent to call center — day 21, 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. 2021-02-05
   Dose 2 — Moderna
6. 2021-02-11
   Survey response — days 1–6 daily, dose 2

   MedDRA: Dermatitis acneiform — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site

   Free text: The pimple like rash is still present from my first Merdona vaccine . It doesnt bother me much but it wont go away and looks bad!

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-02-12
   Survey response — day 7, dose 2

   MedDRA: Biopsy skin abnormal, Dermatitis acneiform, Office visit, Skin ulcer, Specialist consultation — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

   Free text: Systemic reaction (other): Pimple like rash still there from first vaccine dermatologist just gave me results of biopsy from February 5th Said they were skin ulcers and I have a follow up on February 17 .I had never had this before receiving the Moderna Vaccine .r · Healthcare visit (other): Visited GP on 1/26 , Dermatologist on 2/5 going for follow up with Dermatologist on 2/17 for outbreak that appeared 2 days after first dose of Moderna vaccine

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-02-12
   Report sent to call center — day 7, dose 2

   Get care from a doctor or other healthcare professional

   1 call case(s)
9. 2021-02-19
   Survey response — day 14, dose 2

   MedDRA: Dermatitis acneiform, Eye swelling, Hordeolum, Ocular hyperaemia, Urticaria, Vaccine positive rechallenge — Feeling: Fair · Be unable to do your normal daily activities

   Free text: Stye/swollen red sore eye . Still have hive like pimply rash from first vaccine and its not going away! It is worse on right arm site of the second dose. No one has even reached out to me about these side effects.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-02-26
    Survey response — day 21, dose 2

    MedDRA: Fatigue, Hordeolum, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Slight sore throat,Stye and fatigue

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-03-05
    Survey response — day 28, dose 2

    MedDRA: Cardiac flutter, Pruritus — Feeling: Fair

    Free text: Heart is flutter in in and off for the past 3 days. Itchy skin

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-03-14
    Health check-in — day 35, dose 2

    Feeling: Fair

    Adult check-in
13. 2021-06-07
    Call 1 — Left Voicemail
14. 2022-02-07
    Health check-in — 12 months, dose 2

    Feeling: Fair

    Adult check-in