5FJ-10799-17652

4 vaccinations 16 coded responses 27 check-ins 16 free-text entries 0 call cases

Sex: Male
Age at first dose: 51-55
ZIP prefix: 554 / MN
Registered: 2021-04-09

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: The pain noted above is not st the injection site, but instead iny armpit of the same arm (left). It has been very sore since day 2 after my injection (Sunday 4/11).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: No more pain at injection site, but armpit pain continues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-04-30
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Pain, Pyrexia, Sleep disorder — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Started feeling affects yesterday about 7pm, was not a good night, slept 15hrs, bad chills, aches. Slightly better today but fever higher, headache and body aches worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Glossitis, Paraesthesia oral — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Tongue is raw/chaffed on both sides.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Parosmia, Taste disorder — Feeling: Good · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: This is not constant, it is only periodic, and has recurred ever since my 1st shot--metallic, burnt, or rubbing alcohol sensation in nose/mouth...but I haven't had taste or smell for nearly 5 months.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia, Parosmia — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: No taste or smell for 5 months now. Periodically, I will get metallic, or burnt, or rubbing alcohol sensations in my nose, even though I can't smell anything.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Ageusia, Anosmia, Dysgeusia, Parosmia — Feeling: Good · Fatigue or tiredness

Free text: Continued lack of taste and smell for 5 months; periodic metallic or burnt or rubbing alcohol sensations in my nose/mouth, though I can't smell or taste.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 7, dose 2
MedDRA: Ageusia, Anosmia, Burning sensation, Fatigue — Feeling: Good · Fatigue or tiredness

Free text: Continued lack of taste and smell. Periodic metallic, burnt, or rubbing alcohol sensations, even though I can't taste or smell. Fatigue is lessening.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 14, dose 2
MedDRA: Adverse reaction, Ageusia, Anosmia — Feeling: Good

Free text: Not necessarily worse, but I'm still unable to taste or smell anything, for 5 months now.

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

Free text: Not necessarily worse, but still no sense of taste or smell.And now I get hint of rubbing alcohol, or burnt coffee grounds, at times throughout the day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 28, dose 2
MedDRA: Ageusia, Anosmia — Feeling: Good

Free text: Continue to have no sense of taste or smell.For the past month, get a sensation of rubbing alcohol when I drink any non-water beverage, and dark roasted coffee grounds for any food I eat. Any food.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — day 35, dose 2
MedDRA: Ageusia, Anosmia, Oral herpes, Parosmia — Feeling: Good

Free text: 1. Continued lack of taste and smell; sensation of roasted coffee after eating anything.2. Valacyclovir: no affect on cold sore event; normally 1-2 events/yr & 4pills/event; current event is 32 pills over 9 days. Vaccine-related?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 42, dose 2
MedDRA: Ageusia, Anosmia, Oral herpes, Self-medication — Feeling: Good

Free text: (1) Still no taste or smell--periodic sensation of dark roasted coffee grounds with some foods, but no taste or smell of the actual food itself.(2) cold sore on lip took 2weeks and 32 pills to treat, vs 2 days/4pills normally.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-03
Survey response — 3 months, dose 2
MedDRA: Dysgeusia, Increased viscosity of upper respiratory secretion, Parosmia — Feeling: Good

Free text: No taste or smell--with food I get a sense of dark roasted coffee grounds; with liquids (except water) it's rubbing alcohol. Sometimes opening the refrigerator I get sensation of something burning, but friends say no smell at all. Thick nasal mucus.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Ageusia, Anosmia, Dysgeusia — Feeling: Good

Free text: I still cannot taste or smell. The sensation I would get with a few foods has changed from burnt coffee grounds, to burnt chicken. Liquids used to give a sensation of rubbing alcohol, but there has been nothing lately.

MedDRA releases: 2024-11 · check-in free text available
2021-12-14
Dose 3 — Pfizer-BioNTech
2022-06-16
Survey response — 6 months, dose 3
MedDRA: Ageusia, Anosmia, Disturbance in attention, Dizziness, Taste disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: 1-Taste and smell missing now 18 months. Now, some foods give a charred flavor. 2-Some liquids now have rubbing alcohol sensation--this was early on, it went away, now back again, some time. 3-some dizziness, lightheadedness. 4-ability to focus

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Dose 4 — Pfizer-BioNTech
2022-12-19
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2022-12-19
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech
3	2021-12-14	Pfizer-BioNTech	No
4	2022-06-17	Pfizer-BioNTech	No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-13

Systemic reaction (other): The pain noted above is not st the injection site, but instead iny armpit of the same arm (left). It has been very sore since day 2 after my injection (Sunday 4/11).

2021-04-14

Systemic reaction (other): No more pain at injection site, but armpit pain continues.

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Started feeling affects yesterday about 7pm, was not a good night, slept 15hrs, bad chills, aches. Slightly better today but fever higher, headache and body aches worse.

2021-05-02

Systemic reaction (other): Tongue is raw/chaffed on both sides.

2021-05-03

Systemic reaction (other): This is not constant, it is only periodic, and has recurred ever since my 1st shot--metallic, burnt, or rubbing alcohol sensation in nose/mouth...but I haven't had taste or smell for nearly 5 months.

2021-05-05

Systemic reaction (other): No taste or smell for 5 months now. Periodically, I will get metallic, or burnt, or rubbing alcohol sensations in my nose, even though I can't smell anything.

2021-05-06

Systemic reaction (other): Continued lack of taste and smell for 5 months; periodic metallic or burnt or rubbing alcohol sensations in my nose/mouth, though I can't smell or taste.

Release 8 — day 7, dose 2

2021-05-07

Systemic reaction (other): Continued lack of taste and smell. Periodic metallic, burnt, or rubbing alcohol sensations, even though I can't taste or smell. Fatigue is lessening.

Release 8 — day 14, dose 2

2021-05-14

Symptoms: Not necessarily worse, but I'm still unable to taste or smell anything, for 5 months now.

Release 8 — day 21, dose 2

2021-05-21

Symptoms: Not necessarily worse, but still no sense of taste or smell.And now I get hint of rubbing alcohol, or burnt coffee grounds, at times throughout the day.

Release 8 — day 28, dose 2

2021-05-28

Symptoms: Continue to have no sense of taste or smell.For the past month, get a sensation of rubbing alcohol when I drink any non-water beverage, and dark roasted coffee grounds for any food I eat. Any food.

Release 8 — day 35, dose 2

2021-06-04

Symptoms: 1. Continued lack of taste and smell; sensation of roasted coffee after eating anything.2. Valacyclovir: no affect on cold sore event; normally 1-2 events/yr & 4pills/event; current event is 32 pills over 9 days. Vaccine-related?

Release 9 — day 42, dose 2

2021-06-11

Symptoms: (1) Still no taste or smell--periodic sensation of dark roasted coffee grounds with some foods, but no taste or smell of the actual food itself.(2) cold sore on lip took 2weeks and 32 pills to treat, vs 2 days/4pills normally.

Release 9 — 3 months, dose 2

2021-08-03

Symptoms: No taste or smell--with food I get a sense of dark roasted coffee grounds; with liquids (except water) it's rubbing alcohol. Sometimes opening the refrigerator I get sensation of something burning, but friends say no smell at all. Thick nasal mucus. cut off by CDC

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: I still cannot taste or smell. The sensation I would get with a few foods has changed from burnt coffee grounds, to burnt chicken. Liquids used to give a sensation of rubbing alcohol, but there has been nothing lately.

Release 12 — 6 months, dose 3

2022-06-16

Symptoms: 1-Taste and smell missing now 18 months. Now, some foods give a charred flavor. 2-Some liquids now have rubbing alcohol sensation--this was early on, it went away, now back again, some time. 3-some dizziness, lightheadedness. 4-ability to focus

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 reaction	✓	✓	○
SD	Ageusia	✓	✓	✓
SD	Anosmia	✓	✓	✓
SD	Disturbance in attention	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysgeusia	✓	·	✓
SD	Increased viscosity of upper respiratory secretion	✓	·	✓
SD	Oral herpes	✓	✓	✓
SD	Parosmia	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Taste disorder	·	·	✓
SRO	Ageusia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Glossitis	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Parosmia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sleep disorder	✓	✓	✓
SRO	Taste disorder	✓	✓	✓

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