3UL-10469-45169

2 vaccinations 14 coded responses 25 check-ins 14 free-text entries 0 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 346 / FL
Registered: 2021-03-19

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-18
Dose 1 — Moderna
2021-03-19
Registered in v-safe
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Headache — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Fatigue and severe headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Parosmia — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Free text: Sense of smell seems to be off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Anosmia — Feeling: Good · Site: Swelling, Itching · Headache, Fatigue or tiredness

Free text: Loss of smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Anosmia, Taste disorder — Feeling: Good · Headache

Free text: No sense of smell and sense of taste is off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 7, dose 1
MedDRA: Anosmia, Taste disorder — Feeling: Good · Headache

Free text: No sense of smell and taste is off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 14, dose 1
MedDRA: Ageusia, Anosmia, Headache — Feeling: Good

Free text: No sense of smell and taste are still offBad Headaches continue occassionally

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Moderna
2021-04-15
Survey response — day 0, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Good · Headache

Free text: Sense of smell and taste are still not back since the first vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still no sense of smell and taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Still no sense of smell or taste since first vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still no sense of smell or taste ugh

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Still no sense of smell or taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Good · Headache

Free text: Still no sense of smell or taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Survey response — day 7, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Good · Headache

Free text: No sense of smell and taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Ageusia, Anosmia, Diarrhoea, Exposure to SARS-CoV-2, Headache — Feeling: Good

Free text: I had headaches, lost my sense of smell and taste and had loose bowel movements for a week after being exposed to someone who had close contact with someone with covid

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Moderna
2	2021-04-15	Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Fatigue and severe headache

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Sense of smell seems to be off

2021-03-23

Systemic reaction (other): Loss of smell

2021-03-24

Systemic reaction (other): No sense of smell and sense of taste is off

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): No sense of smell and taste is off

Release 6 — day 14, dose 1

2021-04-01

Symptoms: No sense of smell and taste are still offBad Headaches continue occassionally

Release 7 — day 0, dose 2

2021-04-15

Systemic reaction (other): Sense of smell and taste are still not back since the first vaccine

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Still no sense of smell and taste

2021-04-17

Systemic reaction (other): Still no sense of smell or taste since first vaccine

2021-04-18

Systemic reaction (other): Still no sense of smell or taste ugh

2021-04-19

Systemic reaction (other): Still no sense of smell or taste

2021-04-20

Systemic reaction (other): Still no sense of smell or taste

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): No sense of smell and taste

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: I had headaches, lost my sense of smell and taste and had loose bowel movements for a week after being exposed to someone who had close contact with someone with covid

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	Diarrhoea	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Headache	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Parosmia	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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