FD3-88582-93997
3 vaccinations
1 coded response
1 check-in
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 908 / CA
- Registered
- 2021-11-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-02-16
Dose 2 — Moderna
-
2021-11-05
Dose 3 — Moderna
-
2021-11-08
Registered in v-safe
-
2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Injection site vesicles — Feeling: GoodFree text: Blister about two inches from injection siteMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | No |
| 2 | 2021-02-16 | Moderna | No |
| 3 | 2021-11-05 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Blister about two inches from injection site
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 |
|---|---|---|---|---|
| SRO | Injection site vesicles | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release