2TM-27209-24532
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 919 / CA
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-05-03
Dose 1 — Moderna
-
2021-05-04
Registered in v-safe
- 2021-05-04
-
2021-05-05
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea, Throat irritation — Feeling: Fair · Fever · HeadacheFree text: Slight runny nose and slight scratchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-07
-
2021-05-08
Survey response — days 1–6 daily, dose 1MedDRA: Malaise — Feeling: GoodFree text: I was surprised that I felt unwell for up to 4 days after 1st vaccine. Am concerned about the booster on 5/31 as Ive heard the side affects are often worse than the 1st vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
-
2021-06-02
Dose 2 — Moderna
-
2021-06-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-06-04
- 2021-06-05
-
2021-06-06
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Limb mass — Feeling: GoodFree text: I did develop a large, painful cyst like bump with about a 1 inch diameter on the back of my right shoulder. This occurred the day after 2nd vaccination. I dont know if it is related. I received my first vacc on right arm, my 2nd vacc on my left armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
-
2021-06-08
Survey response — days 1–6 daily, dose 2MedDRA: Furuncle — Feeling: GoodFree text: Have a quarter size diameter boil on back of right shoulder that appears to be getting bigger. I made Dr appoint. to have checked.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-09
- 2021-06-16
- 2021-06-23
- 2021-06-30
- 2021-07-07
- 2021-07-14
- 2021-09-01
- 2021-12-02
- 2022-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-03 | Moderna | |
| 2 | 2021-06-02 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Slight runny nose and slight scratchy throat
Systemic reaction (other): I was surprised that I felt unwell for up to 4 days after 1st vaccine. Am concerned about the booster on 5/31 as Ive heard the side affects are often worse than the 1st vaccine.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I did develop a large, painful cyst like bump with about a 1 inch diameter on the back of my right shoulder. This occurred the day after 2nd vaccination. I dont know if it is related. I received my first vacc on right arm, my 2nd vacc on my left arm
Systemic reaction (other): Have a quarter size diameter boil on back of right shoulder that appears to be getting bigger. I made Dr appoint. to have checked.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Furuncle | ✓ | ✓ | ✓ |
| SRO | Limb mass | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release