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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

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Free text: Injection site feels warmer than rest of arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-18
    Survey response — day 14, dose 1
    MedDRA: Injection site inflammation, Injection site pruritus — Feeling: Good
    Free 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
  11. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-01
    Dose 2 — Moderna
  13. 2021-04-01
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  15. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  16. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  19. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-15
    Survey response — day 14, dose 2
    MedDRA: 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 visit
    Free 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 today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-15
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-07-01
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free 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
  24. 2021-07-01
    Report sent to call center — 3 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
    1 call case(s)
  25. 2021-07-06
    Call successful
    Completed over the phone
  26. 2021-09-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Injection site feels warmer than rest of arm

Release 5 — day 14, dose 1

2021-03-18

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

2021-04-15

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

2021-07-01

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

FieldPreferred term2021-092023-042024-11
SDHeadache ✓ ✓ ✓
SDInjection site inflammation ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓

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