YKV-22855-93444

Timeline

1. 2021-03-23
   Dose 1 — Moderna
2. 2021-03-27
   Registered in v-safe
3. 2021-03-27
   Survey response — days 1–6 daily, dose 1

   MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

   Free text: Have swelling and pain in left arm pit

   MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
4. 2021-03-27
   Report sent to call center — days 1–6 daily, dose 1

   Get care from a doctor or other healthcare professional

   1 call case(s)
5. 2021-03-29
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
6. 2021-03-30
   Health check-in — day 7, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-04-06
   Health check-in — day 14, dose 1

   Feeling: Good

   Adult check-in
8. 2021-04-13
   Health check-in — day 21, dose 1

   Feeling: Good

   Adult check-in
9. 2021-04-20
   Dose 2 — Moderna
10. 2021-04-20
    Health check-in — day 0, dose 2

    Feeling: Good · Site: Pain · None

    Adult check-in
11. 2021-04-21
    Health check-in — days 1–6 daily, dose 2

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

    Adult check-in
12. 2021-04-22
    Survey response — days 1–6 daily, dose 2

    MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

    Free text: Left arm pit swollen again just like after 1st shot

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
13. 2021-04-23
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Site: Pain · None

    Adult check-in
14. 2021-04-24
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Headache

    Adult check-in
15. 2021-04-25
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
16. 2021-04-26
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
17. 2021-04-27
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
18. 2021-05-04
    Survey response — day 14, dose 2

    MedDRA: Limb mass, Pyrexia — Feeling: Good

    Free text: Fever of 100.9 a couple of days ago unknown reason. Noticed a small lump on left forearm doesnt hurt not from bumping it no bruise.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
19. 2021-05-13
    Survey response — day 21, dose 2

    MedDRA: Alopecia, Exophthalmos, Eye disorder, Headache, Metamorphopsia, Self-medication — Feeling: Good

    Free text: I have noticed i am losing a lot more hair than usual. I had a weird eye issue just once like one was bulging for jist a second vision distorted then normal Later I had a bad headache took a couple of advil and fine.

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
20. 2021-05-20
    Health check-in — day 28, dose 2

    Feeling: Good

    Adult check-in
21. 2021-05-28
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
22. 2021-06-02
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
23. 2021-07-21
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
24. 2022-01-12
    Call 1 — Left Voicemail
25. 2022-01-12
    Callback requested for

    5:00PM ET
26. 2022-04-20
    Survey response — 12 months, dose 2

    MedDRA: Office visit, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

    Free text: Symptoms: I have diffuse large b cell non Hodgkins lymphoma · Healthcare visit (other): Oncologist, chemo treatments

    MedDRA releases: 2024-11 · check-in free text available
27. 2022-04-20
    Report sent to call center — 12 months, dose 2

    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
28. 2022-04-26
    Call 1 — Left Voicemail
29. 2022-05-05
    Call successful

    Participant prefers to complete VAERS report online