4RC-11911-40575 · OpenVSafe

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-03
Dose 1 — Moderna
2021-03-06
Registered in v-safe
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Gastrointestinal disorder, Medical counselling, Pre-existing disease — Feeling: Fair · Site: Redness · Diarrhea · Be unable to do your normal daily activities

Free text: I had acute pancreatitis about 11 months ago it was very serious had fluid on my lungs blood clot in my liver that i still have lost part of my pancreas and was on feeding tube for 5 weeks no food..i still have to be very careful what i eat ,i asked the pharmacist about getting the shot but he said with my health problem i needed it but im still having problems with my stomach..could it be from the shot???

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): I had acute pancreatitis about 11 months ago it was very serious had fluid on my lungs blood clot in my liver that i still have lost part of my pancreas and was on feeding tube for 5 weeks no food..i still have to be very careful what i eat ,i asked the pharmacist about getting the shot but he said with my health problem i needed it but im still having problems with my stomach..could it be from the shot???

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	Gastrointestinal disorder	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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