7DM-16056-31603
1 vaccination
2 coded responses
3 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 320 / FL
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Moderna
-
2021-03-22
Registered in v-safe
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-16
Survey response — 6 months, dose 1MedDRA: Ehlers-Danlos syndrome, Fibromyalgia, Osteopenia, Postural orthostatic tachycardia syndrome — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Postural Orthostatic tachycardia syndromeFibromyalgia Ehlers Danlos Syndrome (hypermobility currently until genetic testing comes back) OsteopeniaMedDRA releases: 2024-11 · check-in free text available
-
2022-03-18
Survey response — 12 months, dose 1MedDRA: Bronchitis, Carpal tunnel syndrome, Ehlers-Danlos syndrome, Neck pain, Office visit, Telemedicine, Temporomandibular pain and dysfunction syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Bronchitis 2x, hypermobility Ehlers Danlos Syndrome, carpel tunnel pain, neck pain, TMJ · Healthcare visit (other): 18 doctors, some Telehealth, some in person, some out patient clinics, urgent careMedDRA releases: 2024-11 · check-in free text available
-
2022-03-18
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-18 | Unsuccessful |
Free text
Release 9 — 6 months, dose 1
Symptoms: Postural Orthostatic tachycardia syndromeFibromyalgia Ehlers Danlos Syndrome (hypermobility currently until genetic testing comes back) Osteopenia
Release 11 — 12 months, dose 1
Symptoms: Bronchitis 2x, hypermobility Ehlers Danlos Syndrome, carpel tunnel pain, neck pain, TMJ
Healthcare visit (other): 18 doctors, some Telehealth, some in person, some out patient clinics, urgent care
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Telemedicine | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Carpal tunnel syndrome | · | · | ✓ |
| SD | Ehlers-Danlos syndrome | · | · | ✓ |
| SD | Fibromyalgia | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Osteopenia | · | · | ✓ |
| SD | Postural orthostatic tachycardia syndrome | · | · | ✓ |
| SD | Temporomandibular pain and dysfunction syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release