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
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: IndigestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia, Flatulence — Feeling: Good · Site: Itching · Fatigue or tiredness, Abdominal painFree text: Gas/indigestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia, Flatulence — Feeling: Poor · Fatigue or tiredness, Abdominal painFree text: Indigestion and gasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia, Flatulence — Feeling: Good · Nausea, Abdominal painFree text: Gas indigestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Indigestion
Systemic reaction (other): Gas/indigestion
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Indigestion and gas
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release