5A7-95352-53700

Timeline

1. 2020-12-27
   Registered in v-safe
2. 2020-12-27
   Dose 1 — Moderna
3. 2020-12-27
   Health check-in — day 0, dose 1

   Feeling: Good · None

   Adult check-in
4. 2020-12-28
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain, Swelling · None

   Adult check-in
5. 2020-12-29
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain, Swelling · None

   Adult check-in
6. 2020-12-30
   Health check-in — days 1–6 daily, dose 1

   Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

   Adult check-in
7. 2020-12-31
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

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

   Feeling: Good · None

   Adult check-in
9. 2021-01-02
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
10. 2021-01-03
    Health check-in — day 7, dose 1

    Feeling: Good · None

    Adult check-in
11. 2021-01-10
    Health check-in — day 14, dose 1

    Feeling: Good

    Adult check-in
12. 2021-01-17
    Health check-in — day 21, dose 1

    Feeling: Good

    Adult check-in
13. 2021-01-20
    Dose 2 — Moderna
14. 2021-01-21
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

    Adult check-in
15. 2021-01-22
    Survey response — days 1–6 daily, dose 2

    MedDRA: Injection site erythema, Injection site pruritus, Injection site reaction, Skin ulcer — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

    Free text: Spontaneous ulcerative lesion 1cm in diameter, approximately 4cm adjacent to injection site, with area of erythema surrounding it and pruritis.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
16. 2021-01-22
    Report sent to call center — days 1–6 daily, dose 2

    Get care from a doctor or other healthcare professional

    1 call case(s)
17. 2021-01-23
    Survey response — days 1–6 daily, dose 2

    MedDRA: Injection site haemorrhage, Skin haemorrhage, Skin lesion — Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection site

    Free text: Same lesion that I previously reported. It is unclear whether it is healing or not. It started bleeding when I removed the bandage this morning.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
18. 2021-01-24
    Survey response — days 1–6 daily, dose 2

    MedDRA: Injection site infection — Feeling: Good · Site: Pain, Swelling, Itching

    Free text: Lesion next to the injection site is still open and oozing serous fluid. Slowly healing.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
19. 2021-01-25
    Survey response — days 1–6 daily, dose 2

    MedDRA: Injection site pruritus, Injection site reaction, Scab, Skin lesion — Feeling: Good · Site: Pain, Swelling

    Free text: Erosive lesion adjacent to injection site. Now crusted, itching and healing.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
20. 2021-01-26
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
21. 2021-01-27
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
22. 2021-02-03
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
23. 2021-02-10
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
24. 2021-02-17
    Health check-in — day 28, dose 2

    Feeling: Good

    Adult check-in
25. 2021-02-24
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
26. 2021-03-03
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
27. 2021-03-31
    Call successful

    Reported to VAERS voluntarily prior to GDIT contact
28. 2021-04-21
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
29. 2021-07-21
    Health check-in — 6 months, dose 2

    Feeling: Good

    Adult check-in
30. 2022-01-21
    Survey response — 12 months, dose 2

    MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

    Free text: COVID-19 infection

    MedDRA releases: 2024-11 · check-in free text available
31. 2022-01-21
    Report sent to call center — 12 months, dose 2

    Be unable to work or attend school · Get care from a doctor or other healthcare professional

    Telehealth, virtual health, or email health consultation · 1 call case(s)
32. 2022-01-24
    Call successful

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