5CX-37891-53409

4 vaccinations 8 coded responses 26 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 598 / MT
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Moderna
2021-03-06
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Parosmia, Taste disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Everything I eat taste extremely bland. Also I cannot smell most orders. Seams odd!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia, Anosmia — Feeling: Good · Fatigue or tiredness

Free text: I still cannot taste or smell things.

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

Free text: Im still unable to smell things and taste food as it should be.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 7, dose 1
MedDRA: Ageusia, Anosmia — Feeling: Good · Fatigue or tiredness

Free text: Lack of smell and taste.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-03
Dose 2 — Moderna
2021-04-03
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Paranasal sinus hypersecretion, Sinus congestion — Feeling: Fair · Site: Itching · Muscle or body aches · Be unable to do your normal daily activities

Free text: Since the vaccination I have continual sinus congestion, drainage and cough. That has been a problem today and throughout both vaccinations.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Drainage, Paranasal sinus hypersecretion, Sinus congestion — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sinus drainage with extreme cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 7, dose 2
MedDRA: Cough, Paranasal sinus hypersecretion, Sinus congestion — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough, sinus congestion and drainage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-29
Dose 3 — Moderna
2022-04-05
Survey response — 12 months, dose 2
MedDRA: Back disorder, Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ongoing back problems. But pain down the right leg. I'm going through the protocol to hopefully remedy the problems. Pain pills, injections and possibly surgery if the lesser evasive methods do not work. · Healthcare visit (other): Person to person.

MedDRA releases: 2024-11 · check-in free text available
2022-04-05
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-06
Call 1 — Left Voicemail
2022-04-21
Dose 4 — Moderna
2022-04-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-05
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Moderna
2	2021-04-03	Moderna
3	2021-11-29	Moderna	No
4	2022-04-21	Moderna	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Everything I eat taste extremely bland. Also I cannot smell most orders. Seams odd!

2021-03-10

Systemic reaction (other): I still cannot taste or smell things.

2021-03-11

Systemic reaction (other): Im still unable to smell things and taste food as it should be.

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): Lack of smell and taste.

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Since the vaccination I have continual sinus congestion, drainage and cough. That has been a problem today and throughout both vaccinations.

2021-04-09

Systemic reaction (other): Sinus drainage with extreme cough.

Release 7 — day 7, dose 2

2021-04-10

Systemic reaction (other): Cough, sinus congestion and drainage

Release 11 — 12 months, dose 2

2022-04-05

Symptoms: Ongoing back problems. But pain down the right leg. I'm going through the protocol to hopefully remedy the problems. Pain pills, injections and possibly surgery if the lesser evasive methods do not work.

Healthcare visit (other): Person to person.

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
HCVO	Office visit	·	·	✓
SD	Back disorder	·	·	✓
SD	Pain in extremity	·	·	✓
SRO	Ageusia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Drainage	○	✓	○
SRO	Paranasal sinus hypersecretion	✓	✓	✓
SRO	Parosmia	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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