ZUH-12758-04612

Timeline

1. 2021-01-18
   Registered in v-safe
2. 2021-01-18
   Dose 1 — Moderna
3. 2021-01-18
   Health check-in — day 0, dose 1

   Feeling: Good · Chills

   Adult check-in
4. 2021-01-19
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · Site: Pain · None

   Adult check-in
5. 2021-01-20
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
6. 2021-01-21
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
7. 2021-01-22
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
8. 2021-01-23
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
9. 2021-01-24
   Health check-in — days 1–6 daily, dose 1

   Feeling: Good · None

   Adult check-in
10. 2021-01-25
    Health check-in — day 7, dose 1

    Feeling: Good · None

    Adult check-in
11. 2021-02-01
    Survey response — day 14, dose 1

    MedDRA: Erythema, Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Medical counselling, Pain in extremity, Papilloma viral infection, Peripheral swelling, Pruritus, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

    Free text: Symptoms: Developed a severe rash on the area where the vaccine was given. Is was extremely painful almost like someone shot me in the arm. Extremely itchy and my arm was swollen and red. This started on 1-28-2021. The agony lasted three full days · Healthcare visit (other): Husband is a doc so he was treating me

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
12. 2021-02-01
    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)
13. 2021-02-08
    Survey response — day 21, dose 1

    MedDRA: Immunisation reaction, Medical counselling, Pain in extremity, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

    Free text: Symptoms: After developing the Covid arm rash I also started to notice severe pain in my legs beneath my knees the pin was severe that it woke me up at 2a.m. I still have slight pain in my legs · Healthcare visit (other): Consulted with an infectious disease specialist who happens to be my friend she was guiding me

    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
14. 2021-02-08
    Report sent to call center — day 21, dose 1

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

    1 call case(s)
15. 2021-02-15
    Health check-in — day 28, dose 1

    Feeling: Good

    Adult check-in
16. 2021-02-17
    Dose 2 — Moderna
17. 2021-02-18
    Health check-in — days 1–6 daily, dose 2

    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

    Adult check-in
18. 2021-02-19
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

    Adult check-in
19. 2021-02-20
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Site: Redness, Itching · Headache

    Adult check-in
20. 2021-02-21
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · None

    Adult check-in
21. 2021-02-22
    Health check-in — days 1–6 daily, dose 2

    Feeling: Good · Headache

    Adult check-in
22. 2021-02-23
    Health check-in — days 1–6 daily, dose 2

    Feeling: Fair · Headache

    Adult check-in
23. 2021-02-24
    Health check-in — day 7, dose 2

    Feeling: Good · None

    Adult check-in
24. 2021-03-03
    Health check-in — day 14, dose 2

    Feeling: Good

    Adult check-in
25. 2021-03-10
    Health check-in — day 21, dose 2

    Feeling: Good

    Adult check-in
26. 2021-03-17
    Health check-in — day 28, dose 2

    Feeling: Good

    Adult check-in
27. 2021-03-25
    Health check-in — day 35, dose 2

    Feeling: Good

    Adult check-in
28. 2021-03-31
    Health check-in — day 42, dose 2

    Feeling: Good

    Adult check-in
29. 2021-05-19
    Health check-in — 3 months, dose 2

    Feeling: Good

    Adult check-in
30. 2021-06-15
    Call successful

    Reported to VAERS voluntarily prior to GDIT contact
31. 2021-08-20
    Health check-in — 6 months, dose 2

    Feeling: Good

    Adult check-in