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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

  1. 2021-02-17
    Dose 1 — Moderna
  2. 2021-03-17
    Dose 2 — Moderna
  3. 2021-03-27
    Registered in v-safe
  4. 2021-03-27
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-03-31
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-04-07
    Survey response — day 21, dose 2
    MedDRA: Hypersensitivity, Migraine, Telemedicine — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free 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 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-07
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-04-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-04-21
    Survey response — day 35, dose 2
    MedDRA: Injection site pruritus, Pre-existing disease, Pruritus, Skin reaction — Feeling: Good
    Free 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 site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-06-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-09-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2022-03-18
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Moderna
22021-03-17Moderna

Call center

ReportedOutcomeVAERS-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

2021-04-07

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

2021-04-21

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

FieldPreferred term2021-092023-042024-11
HCVOTelemedicine ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDSkin reaction ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release