ZR8-28870-27441
2 vaccinations
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 483 / MI
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-03-17
Dose 2 — Moderna
-
2021-03-27
Registered in v-safe
-
2021-03-27
Health check-in — day 7, dose 2Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-03-31
-
2021-04-07
Survey response — day 21, dose 2MedDRA: Hypersensitivity, Migraine, Telemedicine — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Migraines continued for another day past my 2 weeks after vaccine point. Had a reaction to my allergy shot 2 weeks after vaccine. I have never had a reaction before in 10 years of shots, I'm on a maintenance dose. · Healthcare visit (other): Phone call with doctor after hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-16
-
2021-04-21
Survey response — day 35, dose 2MedDRA: Injection site pruritus, Pre-existing disease, Pruritus, Skin reaction — Feeling: GoodFree text: I take Ajovy for migraines and have breast had a skin reaction. This is my first shot since my vaccine and i had itching at the site of injection of the Ajovy. Also still random itching away vaccination siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-06-19
- 2021-09-15
-
2022-03-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-07 | Successful 2022-03-18 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 7 — day 21, dose 2
Symptoms: Migraines continued for another day past my 2 weeks after vaccine point. Had a reaction to my allergy shot 2 weeks after vaccine. I have never had a reaction before in 10 years of shots, I'm on a maintenance dose.
Healthcare visit (other): Phone call with doctor after hours
Release 7 — day 35, dose 2
Symptoms: I take Ajovy for migraines and have breast had a skin reaction. This is my first shot since my vaccine and i had itching at the site of injection of the Ajovy. Also still random itching away vaccination site
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Telemedicine | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release