HXH-10799-63461

2 vaccinations 4 coded responses 16 check-ins 4 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 658 / MO
Registered: 2021-03-12

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Moderna
2021-03-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Nausea

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — day 21, dose 1
MedDRA: Abdominal distension, Abdominal pain, Diarrhoea, Gastrooesophageal reflux disease, Headache, Sinus congestion — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: severe abdominal pain, diarrhea, bloating, headache, sinus congestion, acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 21, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Dose 2 — Moderna
2021-04-08
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Survey response — day 14, dose 2
MedDRA: Impaired gastric emptying — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: gastroparesis, alkaline gastritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-24
Call successful
Participant prefers to complete VAERS report online
2021-05-20
Survey response — day 42, dose 2
MedDRA: Abdominal pain, Aspiration, Diarrhoea, Liver disorder, Reflux gastritis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: newly diagnosed liver disease, alkaline gastritis, 4 new prescriptions, severe abdominal pain, vomiting, diarrhea (all of these started 36-48hrs after my 1st vaccine, but I thought they were unrelated) These issues have racked up over 2000 in debt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Diarrhoea, Reflux gastritis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Continuation of severe abdominal pain , intermittent diarrhea and conservation, Alkaline gastritis, intolerance to certain foods that weren't a problem prior to vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-12
Call successful
Does not wish to fill out VAERS report
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Moderna
2	2021-04-08	Moderna

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 6 — day 21, dose 1

2021-04-02

Symptoms: severe abdominal pain, diarrhea, bloating, headache, sinus congestion, acid reflux

Release 7 — day 14, dose 2

2021-04-24

Symptoms: gastroparesis, alkaline gastritis

Release 8 — day 42, dose 2

2021-05-20

Symptoms: newly diagnosed liver disease, alkaline gastritis, 4 new prescriptions, severe abdominal pain, vomiting, diarrhea (all of these started 36-48hrs after my 1st vaccine, but I thought they were unrelated) These issues have racked up over 2000 in debt

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Continuation of severe abdominal pain , intermittent diarrhea and conservation, Alkaline gastritis, intolerance to certain foods that weren't a problem prior to vaccination

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
SD	Abdominal distension	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Aspiration	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Impaired gastric emptying	✓	✓	✓
SD	Liver disorder	✓	✓	✓
SD	Reflux gastritis	✓	✓	✓
SD	Sinus congestion	✓	✓	✓

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