XSS-10040-83486
1 vaccination
1 coded response
9 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 846 / UT
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-14
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-21
- 2021-01-27
- 2021-02-06
- 2021-07-14
-
2022-01-13
Survey response — 12 months, dose 1MedDRA: Cough, Fibromyalgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Fibromyalgia, chronic coughMedDRA releases: 2024-11 · check-in free text available
-
2022-01-13
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-14 | Unsuccessful | |
| 2022-01-13 | Unsuccessful |
Free text
Release 10 — 12 months, dose 1
Symptoms: Fibromyalgia, chronic cough
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 | Cough | · | · | ✓ |
| SD | Fibromyalgia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release