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GLG-52711-53910

2 vaccinations 7 coded responses 14 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
108 / NY
Registered
2021-05-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Dose 1 — Moderna
  2. 2021-05-04
    Dose 2 — Moderna
  3. 2021-05-06
    Registered in v-safe
  4. 2021-05-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Headache, Lymph node pain, Lymphadenopathy, Nausea, Pain, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Yesterday I had fever, headache, nausea, fatigue & body aches. Today I had swollen lymph nodes that were painful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Nausea, Diarrhea
    Free text: Tender lymph nodes under the arm of injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain — Feeling: Fair · Site: Redness, Itching
    Free text: Tender lymph nodes besides the breast under the arm where injected
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain — Feeling: Good · Site: Itching · Headache
    Free text: Tender lymph nodes under arm of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  9. 2021-05-11
    Survey response — day 7, dose 2
    MedDRA: Lymph node pain — Feeling: Good · Site: Itching
    Free text: Tender lymph node under arm of injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-02
    Survey response — 6 months, dose 2
    MedDRA: Alopecia — Feeling: Good
    Free text: Consistent hair loss
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-05-04
    Survey response — 12 months, dose 2
    MedDRA: Breast disorder, Lymphadenopathy, Reaction to previous exposure to any vaccine — Feeling: Fair
    Free text: Breast tissue under the arm of the COVID injections has apparent Ectopic tissue. This is in the vicinity where lymph nodes were swollen for a week after each vaccination. A follow up mammogram will be performed in September.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Moderna
22021-05-04Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Yesterday I had fever, headache, nausea, fatigue & body aches. Today I had swollen lymph nodes that were painful.

2021-05-07

Systemic reaction (other): Tender lymph nodes under the arm of injection site

2021-05-08

Systemic reaction (other): Tender lymph nodes besides the breast under the arm where injected

2021-05-09

Systemic reaction (other): Tender lymph nodes under arm of injection

Release 8 — day 7, dose 2

2021-05-11

Systemic reaction (other): Tender lymph node under arm of injection site

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: Consistent hair loss

Release 11 — 12 months, dose 2

2022-05-04

Symptoms: Breast tissue under the arm of the COVID injections has apparent Ectopic tissue. This is in the vicinity where lymph nodes were swollen for a week after each vaccination. A follow up mammogram will be performed in September.

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
SDAlopecia · · ✓
SDBreast disorder · · ✓
SDLymphadenopathy · · ✓
SDReaction to previous exposure to any vaccine · · ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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