ZT3-28899-97595
3 vaccinations
1 coded response
3 check-ins
1 free-text entry
1 call case
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 111 / NY
- Registered
- 2021-11-27
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-04
Dose 1 — Moderna
-
2021-05-02
Dose 2 — Moderna
-
2021-11-26
Dose 3 — Moderna
-
2021-11-27
Registered in v-safe
-
2021-11-27
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain lower, Emergency care, Pregnancy — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I'm in my second trimester and I've been experiencing severe lower abdominal pain for 24 hours (it started about 7 hours after the injection). I even had to visit the ER for the pain.MedDRA releases: 2024-11 · check-in free text available
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2021-11-27
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2021-11-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-11-30
-
2021-11-30
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-04 | Moderna | No |
| 2 | 2021-05-02 | Moderna | No |
| 3 | 2021-11-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-27 | Successful 2021-11-30 |
Participant prefers to complete VAERS report online |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I'm in my second trimester and I've been experiencing severe lower abdominal pain for 24 hours (it started about 7 hours after the injection). I even had to visit the ER for the pain.
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 |
|---|---|---|---|---|
| SRO | Abdominal pain lower | · | · | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release