3CS-98787-89445
3 vaccinations
6 coded responses
36 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 41-45
- ZIP prefix
- 437 / OH
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 1 — Moderna
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
-
2021-04-15
Dose 2 — Moderna
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Good · Site: PainFree text: Small bruise at injection site. Didn't have that with the first round.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
-
2021-07-15
Survey response — 3 months, dose 2MedDRA: Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I just completed treatment for Lyme Disease. I had it for a year to the point of Lyme Arthritis when I got vaccinated unbeknownst to me. Having Lyme Disease while being vaccinated didn't seem to cause a problem. · Healthcare visit (other): Office visit with my doctorMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-15
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
-
2021-07-30
Call successfulCompleted over the phone
- 2021-10-14
-
2021-10-28
Dose 3 — Moderna
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Deafness unilateral, Tinnitus — Feeling: FairFree text: Sudden onset of tinnitus in one ear with slight hearing loss yesterday afternoon.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: FairFree text: Tinnitus in left earMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: FairFree text: Tinnitus in one ear.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Survey response — day 7, dose 3MedDRA: Tinnitus — Feeling: FairFree text: Ringing in one earMedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2022-01-27
- 2022-04-28
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Small bruise at injection site. Didn't have that with the first round.
Release 9 — 3 months, dose 2
Symptoms: I just completed treatment for Lyme Disease. I had it for a year to the point of Lyme Arthritis when I got vaccinated unbeknownst to me. Having Lyme Disease while being vaccinated didn't seem to cause a problem.
Healthcare visit (other): Office visit with my doctor
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sudden onset of tinnitus in one ear with slight hearing loss yesterday afternoon.
Systemic reaction (other): Tinnitus in left ear
Systemic reaction (other): Tinnitus in one ear.
Release 10 — day 7, dose 3
Systemic reaction (other): Ringing in one ear
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 | Office visit | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Deafness unilateral | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release