6GG-15723-75619

Timeline

1. 2021-02-27
   Dose 1 — Moderna
2. 2021-02-28
   Registered in v-safe
3. 2021-02-28
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · None

   Adult check-in
4. 2021-03-02
   Survey response — days 1–6 daily, dose 1

   MedDRA: Chills, Fatigue, Headache, Hypersensitivity, Lip pruritus, Lip swelling — Feeling: Good · Headache

   Free text: I felt a little chilled, fatigued and headache yesterday (forgot to report) but great today. Also I had a little allergic reaction when I got the shot which resolved except my lips are still itchy and a little swollen

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
5. 2021-03-03
   Survey response — days 1–6 daily, dose 1

   MedDRA: Headache — Feeling: Good · Headache

   Free text: Just a little nagging headache

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
6. 2021-03-04
   Survey response — days 1–6 daily, dose 1

   MedDRA: Burning sensation, Fatigue, Lip pruritus, Pain — Feeling: Good · Fatigue or tiredness

   Free text: Im still having some burning sensations in my face and itchy lips from the initial allergic reaction. I felt achey and fatigued on and off but mostly feeling great.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
7. 2021-03-06
   Health check-in — day 7, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-03-13
   Survey response — day 14, dose 1

   MedDRA: Ear pruritus, Hypersensitivity, Injection site pruritus, Injection site swelling, Malaise, Serum sickness — Feeling: Poor · 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: Last Sunday night my injection site swelled and became itchy and my ears started itching. On Monday I had some sort of massive allergic reaction. I am told it was serum sickness. Still on the mend, but not feeling great.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-03-13
   Report sent to call center — day 14, dose 1

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

   1 call case(s)
10. 2021-03-20
    Survey response — day 21, dose 1

    MedDRA: Anxiety, Ear congestion, Eye pruritus, Lip pruritus, Oral pruritus, Palpitations, Pruritus, Serum sickness — Feeling: Fair · Be unable to do your normal daily activities

    Free text: Im am still stuggling with many symptoms from developing serum sickness from the vaccine (according to the allergist). Itching of lips and face and mouth. Racing heart. Ear congestion. And burning in my hands and itchy eyes and very anxious

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-03-27
    Health check-in — day 28, dose 1

    Feeling: Fair

    Adult check-in
12. 2021-04-03
    Health check-in — day 35, dose 1

    Feeling: Good

    Adult check-in
13. 2021-04-10
    Health check-in — day 42, dose 1

    Feeling: Good

    Adult check-in
14. 2021-05-29
    Health check-in — 3 months, dose 1

    Feeling: Good

    Adult check-in
15. 2021-08-28
    Survey response — 6 months, dose 1

    MedDRA: Adverse reaction, Office visit — Feeling: Fair · Be unable to do your normal daily activities

    Free text: I am still having some weird allergic symptoms. I tried to get off my antihistamine and a lot of my symptoms post shot came back. I met with allergist again. Back on high dose antihistamines.

    MedDRA releases: 2021-09,2024-11 · check-in free text available
16. 2022-02-27
    Health check-in — 12 months, dose 1

    Feeling: Fair

    Adult check-in
17. 2022-03-02
    Call successful

    Participant prefers to complete VAERS report online