6QS-18641-63588

Timeline

1. 2021-01-11
   Dose 1 — Moderna
2. 2021-01-13
   Registered in v-safe
3. 2021-01-13
   Survey response — days 1–6 daily, dose 1

   MedDRA: Blindness, Emergency care, Hypotension, Paraesthesia oral, Self-medication, Swollen tongue, Urticaria — Feeling: Good · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

   Free text: Systemic reaction (other): Monday I got the shot at 10 am. At around 6 pm the same day i developed hives and tingling in my lips and my tongue felt swollen. I took 50 of benadryl and 10 of pepcid and went to the ER. I lost my vision momentarily when I got to the ER with a blood pressure in the 50s systolically. It did not stay low long and I regained my vision and my hives started improving quickly. I was given some more pepcid and steroids. I was back to normal after a few hours. · Healthcare visit (other): ER visit day of vaccination for severe hives and low bp with vision loss

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-01-13
   Report sent to call center — days 1–6 daily, 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. 2021-01-14
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
6. 2021-01-15
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-01-16
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-01-17
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
9. 2021-03-04
   Call 1 — Left Voicemail