6ZZ-32555-68266
2 vaccinations
1 coded response
11 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 308 / GA
- Registered
- 2021-10-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-13
Registered in v-safe
-
2021-10-13
Dose 1 — Moderna
- 2021-10-13
- 2021-10-16
- 2021-10-17
- 2021-10-20
-
2021-10-29
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Small itchy patch on injection site. Has since cleared upMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
-
2021-11-10
Dose 2 — Moderna
- 2021-11-10
-
2021-11-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitAdult check-in
-
2021-11-11
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-11-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, NauseaAdult check-in
- 2022-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-13 | Moderna | No |
| 2 | 2021-11-10 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-11 | Unsuccessful |
Free text
Release 10 — day 14, dose 1
Symptoms: Small itchy patch on injection site. Has since cleared up
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 | Injection site pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release