ZBP-43095-34810
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 933 / CA
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-02-10
Registered in v-safe
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-06
Dose 2 — Moderna
-
2021-03-13
Survey response — day 7, dose 2MedDRA: Chills, Headache — Feeling: GoodFree text: I felt chills and headache next day after second injection for about 3 hours. Fine after that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-07
-
2021-09-04
Survey response — 6 months, dose 2MedDRA: Pneumonia, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I was tested positive for Covid on 8/10/2021. I developed Pneumonia and given antibiotics. Pneumonia got worse . I was given an infusion of antibiotics on 8/20/2021. The infusion helped me recover from pneumonia. I am fully recovered now.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-04
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-07
-
2022-03-08
Survey response — 12 months, dose 2MedDRA: COVID-19, COVID-19 pneumonia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I was diagnosed with Covid in August 2021. I caught Covid pneumonia but, I was NOT hospitalized and I recovered completely within 4 weeks.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-04 | Unsuccessful |
Free text
Release 5 — day 7, dose 2
Systemic reaction (other): I felt chills and headache next day after second injection for about 3 hours. Fine after that.
Release 9 — 6 months, dose 2
Symptoms: I was tested positive for Covid on 8/10/2021. I developed Pneumonia and given antibiotics. Pneumonia got worse . I was given an infusion of antibiotics on 8/20/2021. The infusion helped me recover from pneumonia. I am fully recovered now.
Release 11 — 12 months, dose 2
Symptoms: I was diagnosed with Covid in August 2021. I caught Covid pneumonia but, I was NOT hospitalized and I recovered completely within 4 weeks.
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 | COVID-19 | · | · | ✓ |
| SD | COVID-19 pneumonia | · | · | ✓ |
| SD | Pneumonia | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release