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
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
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2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
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2021-03-16
Survey response — day 14, dose 1MedDRA: Fatigue — Feeling: GoodFree text: Was really tired for a couple days but better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — day 21, dose 1MedDRA: Pain — Feeling: FairFree text: Aching in certain parts of my bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Dose 2 — Moderna
- 2021-03-30
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Injection site pain — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Some pain under armpit more and arm where got the 2nd shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-05
- 2021-04-07
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2021-04-14
Survey response — day 14, dose 2MedDRA: Axillary pain, Pain in extremity — Feeling: GoodFree text: Arm getting sore and under armpit where tge second shot was two weeks agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2021-04-27
Survey response — day 28, dose 2MedDRA: Bladder pain — Feeling: FairFree 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 samethingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 35, dose 2MedDRA: Axillary pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bad pain under both armpits since lsdt shot March 30thMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-01
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Back pain, Deafness — Feeling: FairFree text: Lost hearing in one ear .Stomach pains to backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-30
- 2022-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-04 | Unsuccessful |
Free text
Release 5 — day 14, dose 1
Symptoms: Was really tired for a couple days but better now.
Release 6 — day 21, dose 1
Symptoms: Aching in certain parts of my body
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Some pain under armpit more and arm where got the 2nd shot
Release 7 — day 14, dose 2
Symptoms: Arm getting sore and under armpit where tge second shot was two weeks ago
Release 8 — day 28, dose 2
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
Symptoms: Bad pain under both armpits since lsdt shot March 30th
Release 9 — 3 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Bladder pain | ✓ | ✓ | ✓ |
| SD | Deafness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release