2HL-21562-85412

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 2 call cases

Sex: Male
Age at first dose: 61-65
ZIP prefix: 104 / NY
Registered: 2021-08-27

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-08-26
Dose 1 — Pfizer-BioNTech
2021-08-27
Registered in v-safe
2021-08-27
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia, Anosmia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Taste and smell compromised

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-28
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia, Anosmia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Taste and smell comes and goes

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Survey response — days 1–6 daily, dose 1
MedDRA: Hypogeusia, Hyposmia — Feeling: Good

Free text: My taste and smell comes and goes like I have a head cold or allergies

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-30
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia, Anosmia — Feeling: Good

Free text: Still experiencing a loss of taste n smell

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-31
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia, Anosmia, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Loss of taste n smell, itchy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia, Anosmia, Eczema — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Loss of taste n smell. Broke out with an eczema like rash about 24 hours ago

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-02
Survey response — day 7, dose 1
MedDRA: Ageusia, Anosmia, Nasopharyngitis — Feeling: Good

Free text: Still Cold like symptoms with no smell and taste.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-09
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-09-16
Dose 2 — Pfizer-BioNTech
2021-09-16
Survey response — day 0, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school

Free text: Stiffness in the neck

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-18
Survey response — days 1–6 daily, dose 2
MedDRA: Malaise — Feeling: Good

Free text: I feel fine today 24 hours ago I felt horrible but its all gone

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-09-23
Health check-in — day 7, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-09-30
Survey response — day 14, dose 2
MedDRA: Headache, Rash — Feeling: Fair · Be unable to work or attend school

Free text: Rash , headache

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-10-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-12-16
Survey response — 3 months, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Loss of taste and smell

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-17
Call 2 — Left Voicemail
2022-03-18
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-09-18
Survey response — 12 months, dose 2
MedDRA: Ageusia, Anosmia, Asthma, Impaired work ability, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I still can't taste and smell. Over 21/2 years now.. I had COVID in April 2020 for over a month since then I have chronic cold symptoms and my asthma is worse than ever? I still go to work but I can't make a full week absent a lot of times Chronic

MedDRA releases: 2024-11 · check-in free text available
2022-09-18
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-19
Call 1 — Left Voicemail
2022-09-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-26	Pfizer-BioNTech	No
2	2021-09-16	Pfizer-BioNTech	No

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-27

Systemic reaction (other): Taste and smell compromised

2021-08-28

Systemic reaction (other): Taste and smell comes and goes

2021-08-29

Systemic reaction (other): My taste and smell comes and goes like I have a head cold or allergies

2021-08-30

Systemic reaction (other): Still experiencing a loss of taste n smell

2021-08-31

Systemic reaction (other): Loss of taste n smell, itchy

2021-09-01

Systemic reaction (other): Loss of taste n smell. Broke out with an eczema like rash about 24 hours ago

Release 9 — day 7, dose 1

2021-09-02

Systemic reaction (other): Still Cold like symptoms with no smell and taste.

Release 9 — day 0, dose 2

2021-09-16

Systemic reaction (other): Stiffness in the neck

Release 9 — days 1–6 daily, dose 2

2021-09-18

Systemic reaction (other): I feel fine today 24 hours ago I felt horrible but its all gone

Release 9 — day 14, dose 2

2021-09-30

Symptoms: Rash , headache

Release 10 — 3 months, dose 2

2021-12-16

Symptoms: Loss of taste and smell

Release 12 — 12 months, dose 2

2022-09-18

Symptoms: I still can't taste and smell. Over 21/2 years now.. I had COVID in April 2020 for over a month since then I have chronic cold symptoms and my asthma is worse than ever? I still go to work but I can't make a full week absent a lot of times Chronic cut off by CDC

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Asthma	·	·	✓
SD	Headache	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	·	·	✓
SRO	Ageusia	✓	·	✓
SRO	Anosmia	✓	·	✓
SRO	Eczema	✓	·	✓
SRO	Hypogeusia	✓	·	✓
SRO	Hyposmia	✓	·	✓
SRO	Malaise	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Nasopharyngitis	✓	·	✓
SRO	Pruritus	✓	·	✓

✓ active code · ○ coded but marked inactive · blank = not in that release