ZV7-13796-84209
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 16-20
- ZIP prefix
- 282 / NC
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Injection site feels warmer than rest of armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-09
- 2021-03-10
- 2021-03-11
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2021-03-18
Survey response — day 14, dose 1MedDRA: Injection site inflammation, Injection site pruritus — Feeling: GoodFree text: moderna arm: inflamed colorless oval approx 2in long, 1in across presenting at injection site on day 7 post injection. No pain, but itching occured After taking cetrizine for two days the circle disappeared. No other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-09
-
2021-04-15
Survey response — day 14, dose 2MedDRA: Headache, Migraine — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Severe migraine and frequent ice pick headaches for four days starting on day 5 post vaccination, becoming severe on day 10, and continuing to todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-01
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Severe stabbing headaches for almost 12 weeks with no known cause. Started a week after my second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-01
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-07-06
Call successfulCompleted over the phone
- 2021-09-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site feels warmer than rest of arm
Release 5 — day 14, dose 1
Symptoms: moderna arm: inflamed colorless oval approx 2in long, 1in across presenting at injection site on day 7 post injection. No pain, but itching occured After taking cetrizine for two days the circle disappeared. No other symptoms.
Release 7 — day 14, dose 2
Symptoms: Severe migraine and frequent ice pick headaches for four days starting on day 5 post vaccination, becoming severe on day 10, and continuing to today
Release 9 — 3 months, dose 2
Symptoms: Severe stabbing headaches for almost 12 weeks with no known cause. Started a week after my second dose.
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 |
|---|---|---|---|---|
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site inflammation | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release