YJS-16589-23009

Timeline

1. 2021-02-17
   Dose 1 — Moderna
2. 2021-03-02
   Registered in v-safe
3. 2021-03-03
   Survey response — day 14, dose 1

   MedDRA: Headache, Injection site rash, Pruritus, Self-medication, Urticaria — Feeling: Fair · Be unable to do your normal daily activities

   Free text: Hives/welts on my thighs, buttocks, behind my knees and elbows and upper arms after I exercise for the past week, approximately 10-15 post exercises. Extremely itchy, requires Benadryl to go away. Rash at injection site reappeared. Headaches

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-03-11
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
5. 2021-03-17
   Dose 2 — Moderna
6. 2021-03-17
   Health check-in — day 0, dose 2

   Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain

   Adult check-in
7. 2021-03-18
   Survey response — days 1–6 daily, dose 2

   MedDRA: Tinnitus, Vision blurred — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

   Free text: Blurry vision, ringing in ears

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
8. 2021-03-19
   Survey response — days 1–6 daily, dose 2

   MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

   Free text: Covid arm rash that starts two inches below the injection site

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
9. 2021-03-20
   Survey response — days 1–6 daily, dose 2

   MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Rash erythematous — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Abdominal pain, Rash, not including the immediate area around the injection site

   Free text: Large red rash 1 inch lower than the injection site. The rash is swollen, red, warm and painful to the touch. It is also itchy.

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
10. 2021-03-21
    Survey response — days 1–6 daily, dose 2

    MedDRA: Injection site reaction, Rash, Rash erythematous, Rash pruritic — Feeling: Good · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection site

    Free text: Rash with mild pain, redness and itching about an inch below the injection site.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
11. 2021-03-22
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

    Adult check-in
12. 2021-03-23
    Survey response — days 1–6 daily, dose 2

    MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site

    Free text: Round red rash about an inch lower than the injection site. Now I have a rash around my neck. Both rash sits itch.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
13. 2021-03-24
    Survey response — day 7, dose 2

    MedDRA: Oropharyngeal pain, Rash — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

    Free text: Sore throat, rash on neck

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-03-31
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
15. 2021-04-07
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
16. 2021-04-14
    Survey response — day 28, dose 2

    MedDRA: Urticaria — Feeling: Good

    Free text: Continue to have hives. Still need to take antihistamines since taking my Covid vaccinations to keep from getting hives.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
17. 2021-04-21
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
18. 2021-04-28
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
19. 2021-06-18
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
20. 2021-09-16
    Health check-in — 6 months, dose 2

    Feeling: Good

    Adult check-in
21. 2022-03-17
    Survey response — 12 months, dose 2

    MedDRA: Heavy menstrual bleeding, Urticaria — 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: I am still breaking out in random hives for no reason. This started after my initial Covid vaccination. The hives are in the same location: buttocks, thighs, knees and my upper arms. I've also been experiencing increased menstrual bleeding as well.

    MedDRA releases: 2024-11 · check-in free text available
22. 2022-03-17
    Report sent to call center — 12 months, dose 2

    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 · 1 call case(s)
23. 2022-03-18
    Call successful

    Participant prefers to complete VAERS report online