RW4-19389-38441
2 vaccinations
2 coded responses
20 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 479 / IN
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-03
Registered in v-safe
-
2021-04-03
Dose 1 — Moderna
- 2021-04-03
- 2021-04-04
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Fair · Headache, NauseaFree text: I often get headaches accompanied by nausea so I doubt this is a result of the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-17
- 2021-05-01
-
2021-05-04
Dose 2 — Moderna
- 2021-05-08
- 2021-05-13
- 2021-05-20
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
- 2021-11-04
-
2022-05-04
Survey response — 12 months, dose 2MedDRA: Gastrointestinal disorder, Gluten sensitivity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Stomach issues linked to gluten intoleranceMedDRA releases: 2024-11 · check-in free text available
-
2022-05-04
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Moderna | |
| 2 | 2021-05-04 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I often get headaches accompanied by nausea so I doubt this is a result of the vaccine
Release 11 — 12 months, dose 2
Symptoms: Stomach issues linked to gluten intolerance
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 | Gastrointestinal disorder | · | · | ✓ |
| SD | Gluten sensitivity | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release