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ZT3-24902-41529

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 1 call case
Sex
Male
Age at first dose
66+
ZIP prefix
440 / OH
Registered
2021-03-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Registered in v-safe
  2. 2021-03-02
    Dose 1 — Moderna
  3. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  4. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Nausea
    Adult check-in
  9. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-16
    Survey response — day 14, dose 1
    MedDRA: Fatigue — Feeling: Good
    Free text: Was really tired for a couple days but better now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-23
    Survey response — day 21, dose 1
    MedDRA: Pain — Feeling: Fair
    Free text: Aching in certain parts of my body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-30
    Dose 2 — Moderna
  13. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Injection site pain — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Some pain under armpit more and arm where got the 2nd shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  19. 2021-04-14
    Survey response — day 14, dose 2
    MedDRA: Axillary pain, Pain in extremity — Feeling: Good
    Free text: Arm getting sore and under armpit where tge second shot was two weeks ago
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-27
    Survey response — day 28, dose 2
    MedDRA: Bladder pain — Feeling: Fair
    Free text: The night after my first vaccineshot mybladder started hurting it went away for a while but now weeks after my second shits its starting again. Someone else that got your shot said the samething
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-04
    Survey response — day 35, dose 2
    MedDRA: Axillary pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Bad pain under both armpits since lsdt shot March 30th
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-04
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-07-01
    Survey response — 3 months, dose 2
    MedDRA: Abdominal pain upper, Back pain, Deafness — Feeling: Fair
    Free text: Lost hearing in one ear .Stomach pains to back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-09-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-04-18

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-04 Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Was really tired for a couple days but better now.

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Aching in certain parts of my body

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Some pain under armpit more and arm where got the 2nd shot

Release 7 — day 14, dose 2

2021-04-14

Symptoms: Arm getting sore and under armpit where tge second shot was two weeks ago

Release 8 — day 28, dose 2

2021-04-27

Symptoms: The night after my first vaccineshot mybladder started hurting it went away for a while but now weeks after my second shits its starting again. Someone else that got your shot said the samething

Release 8 — day 35, dose 2

2021-05-04

Symptoms: Bad pain under both armpits since lsdt shot March 30th

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Lost hearing in one ear .Stomach pains to back

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
SDAbdominal pain upper ✓ ✓ ✓
SDAxillary pain ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDBladder pain ✓ ✓ ✓
SDDeafness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓

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