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CQS-10240-08962

1 vaccination 4 coded responses 6 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
919 / CA
Registered
2021-03-17
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Registered in v-safe
  2. 2021-03-17
    Dose 1 — Moderna
  3. 2021-03-17
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Indigestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-18
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspepsia, Flatulence — Feeling: Good · Site: Itching · Fatigue or tiredness, Abdominal pain
    Free text: Gas/indigestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspepsia, Flatulence — Feeling: Poor · Fatigue or tiredness, Abdominal pain
    Free text: Indigestion and gas
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspepsia, Flatulence — Feeling: Good · Nausea, Abdominal pain
    Free text: Gas indigestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-09-17
    Health check-in — 6 months, dose 1
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Indigestion

2021-03-19

Systemic reaction (other): Gas/indigestion

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Indigestion and gas

2021-03-21

Systemic reaction (other): Gas indigestion

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
SRODyspepsia ✓ ✓ ✓
SROFlatulence ✓ ✓ ✓

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