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5SF-27280-67538

2 vaccinations 7 coded responses 15 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
483 / MI
Registered
2021-04-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-24
    Dose 1 — Moderna
  2. 2021-04-26
    Dose 2 — Moderna
  3. 2021-04-27
    Registered in v-safe
  4. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Parosmia — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness and weird smell, like burning cigarettes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Parosmia — Feeling: Good · Site: Swelling · Fatigue or tiredness
    Free text: Intermittent smell changes, my orange smelled like smoke. The air conditioning in my vehicle smells like smoke, drinking out of a glass the water smells like smoke
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness
    Free text: No more weird smells
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis, Night sweats — Feeling: Good · Fatigue or tiredness
    Free text: Night sweats and one episode of smelling smoke from the water faucet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anosmia, Dysgeusia — Feeling: Good
    Free text: Just continued distortion of my smell and taste. Toothpaste tastes awful, open glass of water smells like burning odor, same odor for all bad smells. Dog breath smelled like smoke, the breeze smelled like smoke, the water running from a faucet smells like smoke.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-03
    Survey response — day 7, dose 2
    MedDRA: Dizziness, Parosmia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Smell distortion as stated before, light headed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-10
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-05-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-01
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-06-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-04-26
    Survey response — 12 months, dose 2
    MedDRA: Chest pain, Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Chest pain (burning) mid chest and extreme fatigue. Started 1 week ago, after attempting to increase walking more miles and trying to go daily. I'm getting it now with short walks or after walking through a store.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-24Moderna
22021-04-26Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Dizziness and weird smell, like burning cigarettes

2021-04-28

Systemic reaction (other): Intermittent smell changes, my orange smelled like smoke. The air conditioning in my vehicle smells like smoke, drinking out of a glass the water smells like smoke

2021-04-29

Systemic reaction (other): No more weird smells

2021-04-30

Systemic reaction (other): Night sweats and one episode of smelling smoke from the water faucet.

2021-05-02

Systemic reaction (other): Just continued distortion of my smell and taste. Toothpaste tastes awful, open glass of water smells like burning odor, same odor for all bad smells. Dog breath smelled like smoke, the breeze smelled like smoke, the water running from a faucet smells like smoke.

Release 8 — day 7, dose 2

2021-05-03

Systemic reaction (other): Smell distortion as stated before, light headed

Release 11 — 12 months, dose 2

2022-04-26

Symptoms: Chest pain (burning) mid chest and extreme fatigue. Started 1 week ago, after attempting to increase walking more miles and trying to go daily. I'm getting it now with short walks or after walking through a store.

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

FieldPreferred term2021-092023-042024-11
SDChest pain · · ✓
SDFatigue · · ✓
SROAnosmia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROParosmia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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