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6KD-11956-81116

5 vaccinations 4 coded responses 21 check-ins 4 free-text entries 1 call case
Sex
Male
Age at first dose
46-50
ZIP prefix
473 / IN
Registered
2021-01-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-14
    Registered in v-safe
  3. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-01-14
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-02-09
    Dose 2 — Pfizer-BioNTech
  8. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-08-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-08-16
    Dose 3 — Moderna
  14. 2021-08-16
    Survey response — day 0, dose 3
    MedDRA: Dysgeusia — Feeling: Fair · Site: Swelling · Fatigue or tiredness
    Free text: A taste in the mouth
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-08-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  16. 2021-08-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-08-24
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-09-08
    Survey response — day 21, dose 3
    MedDRA: CD4 lymphocytes decreased, Pre-existing disease, Taste disorder — Feeling: Good
    Free text: Ever since receiving my third dose of moderna I have noticed that I have a continuing taste in the back of my throat and I have not had this symptom until receiving my covid vaccinations. I do have a compromised immune system CD4 count under 200
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-09-15
    Survey response — day 28, dose 3
    MedDRA: Dysgeusia, Immediate post-injection reaction — Feeling: Good
    Free text: Since my 3rd shoot, I have noticed a bitter taste in my mouth since about an hour after receiving 3rd shoot. And still experience it I believe it's been over around 4 weeks or so since receiving shot.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-09-22
    Survey response — day 35, dose 3
    MedDRA: Dysgeusia — Feeling: Good
    Free text: I'm still having that bitter taste in the back of my throat since the third vaccination it seems like constantly having a bitter taste in the back of my mouth
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-01-26
    Dose 4 — Moderna
  23. 2022-02-14
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  24. 2022-02-14
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  25. 2022-02-24
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  26. 2022-03-14
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  27. 2022-10-14
    Dose 5 — Moderna
  28. 2022-10-19
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Pfizer-BioNTech
22021-02-09Pfizer-BioNTech
32021-08-16Moderna No
42022-01-26Moderna No
52022-10-14Moderna No

Call center

1 call center case

1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 9 — day 0, dose 3

2021-08-16

Systemic reaction (other): A taste in the mouth

Release 9 — day 21, dose 3

2021-09-08

Symptoms: Ever since receiving my third dose of moderna I have noticed that I have a continuing taste in the back of my throat and I have not had this symptom until receiving my covid vaccinations. I do have a compromised immune system CD4 count under 200

Release 9 — day 28, dose 3

2021-09-15

Symptoms: Since my 3rd shoot, I have noticed a bitter taste in my mouth since about an hour after receiving 3rd shoot. And still experience it I believe it's been over around 4 weeks or so since receiving shot.

Release 9 — day 35, dose 3

2021-09-22

Symptoms: I'm still having that bitter taste in the back of my throat since the third vaccination it seems like constantly having a bitter taste in the back of my mouth

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
SDCD4 lymphocytes decreased · · ✓
SDDysgeusia · · ✓
SDImmediate post-injection reaction · · ✓
SDPre-existing disease · · ✓
SDTaste disorder · · ✓
SRODysgeusia ✓ · ✓

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

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