4WZ-20845-22136

3 vaccinations 15 coded responses 39 check-ins 15 free-text entries 0 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 087 / NJ
Registered: 2021-03-26

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

2021-03-25
Dose 1 — Moderna
2021-03-26
Registered in v-safe
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Good · Site: Pain

Free text: Strange taste in mouth. Almost metallic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Weird taste of metal in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Good

Free text: Weird taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Taste disorder — Feeling: Good

Free text: Funny taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Good

Free text: Funny taste in mouth but it's less than its been

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 7, dose 1
MedDRA: Dysgeusia, Injection site bruising — Feeling: Good · Fatigue or tiredness

Free text: Metallic taste in mouth. Bruise just appeared at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-04-26
Dose 2 — Moderna
2021-04-26
Survey response — day 0, dose 2
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness

Free text: Metallic taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Metallic taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Joint pains

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Nausea, Abdominal pain

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: Red patch on arm not by injection spot. And it's hot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Survey response — day 14, dose 2
MedDRA: Breast pain — Feeling: Good

Free text: Pain in my left breast.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — day 28, dose 2
MedDRA: Dysphonia, Food allergy, Pre-existing disease — Feeling: Fair

Free text: Reactions after eating fruits and vegetables. Also hoarse voice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 35, dose 2
MedDRA: Adverse food reaction — Feeling: Good

Free text: Reactions to foods I eat. Mainly fruits and vegetables.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-25
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-27
Dose 3 — Moderna
2021-12-27
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-12-28
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-12-31
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache

Adult check-in
2022-01-01
Survey response — days 1–6 daily, dose 3
MedDRA: Nasal congestion — Feeling: Fair

Free text: Stuffy nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — days 1–6 daily, dose 3
MedDRA: Postmenopausal haemorrhage — Feeling: Fair · Headache

Free text: Post menopausal spotting

MedDRA releases: 2024-11 · check-in free text available
2022-01-03
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-01-10
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2022-01-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-24
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-28
Survey response — 3 months, dose 3
MedDRA: Endometrial cancer — Feeling: Good

Free text: Endometrial cancer

MedDRA releases: 2024-11 · check-in free text available
2022-07-03
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Moderna
2	2021-04-26	Moderna
3	2021-12-27	Moderna	No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Strange taste in mouth. Almost metallic.

2021-03-27

Systemic reaction (other): Weird taste of metal in mouth

2021-03-28

Systemic reaction (other): Weird taste in mouth

2021-03-29

Systemic reaction (other): Funny taste in mouth

2021-03-30

Systemic reaction (other): Funny taste in mouth but it's less than its been

Release 6 — day 7, dose 1

2021-04-01

Systemic reaction (other): Metallic taste in mouth. Bruise just appeared at injection site

Release 8 — day 0, dose 2

2021-04-26

Systemic reaction (other): Metallic taste in mouth

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Metallic taste in mouth

2021-04-30

Systemic reaction (other): Red patch on arm not by injection spot. And it's hot

Release 8 — day 14, dose 2

2021-05-10

Symptoms: Pain in my left breast.

Release 8 — day 28, dose 2

2021-05-24

Symptoms: Reactions after eating fruits and vegetables. Also hoarse voice

Release 8 — day 35, dose 2

2021-05-31

Symptoms: Reactions to foods I eat. Mainly fruits and vegetables.

Release 10 — days 1–6 daily, dose 3

2022-01-01

Systemic reaction (other): Stuffy nose

2022-01-02

Systemic reaction (other): Post menopausal spotting

Release 11 — 3 months, dose 3

2022-03-28

Symptoms: Endometrial cancer

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	Adverse food reaction	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Dysphonia	✓	✓	✓
SD	Endometrial cancer	·	·	✓
SD	Food allergy	○	✓	○
SD	Pre-existing disease	✓	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Nasal congestion	·	·	✓
SRO	Postmenopausal haemorrhage	·	·	✓
SRO	Taste disorder	✓	✓	✓

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