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YDL-28015-49831

3 vaccinations 19 coded responses 38 check-ins 19 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
925 / CA
Registered
2021-02-06
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-06
    Registered in v-safe
  2. 2021-02-06
    Dose 1 — Moderna
  3. 2021-02-06
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anosmia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lost of smell
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  6. 2021-02-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anosmia — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Lost of smell last two days and today noticed that I cant taste anything.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ageusia, Anosmia — Feeling: Good · Site: Redness, Itching
    Free text: Still cant smell or taste anything
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia, Parosmia — Feeling: Good
    Free text: Smell and taste has still not teto
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-13
    Survey response — day 7, dose 1
    MedDRA: Ageusia, Anosmia — Feeling: Good
    Free text: Smell and taste still gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-28
    Survey response — day 21, dose 1
    MedDRA: Ageusia, Anosmia — Feeling: Good
    Free text: I still can not smell or taste anything. This has been going on since I got my first shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-06
    Dose 2 — Moderna
  14. 2021-03-06
    Survey response — day 0, dose 2
    MedDRA: Ageusia, Anosmia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Free text: Lost of taste and smell
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ageusia, Anosmia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lost of taste and smell
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ageusia, Anosmia — Feeling: Good · Site: Pain, Swelling · Headache, Joint pains
    Free text: Smell and taste still gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ageusia, Anosmia — Feeling: Good
    Free text: No smell or taste
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ageusia, Anosmia — Feeling: Good
    Free text: Smell and taste still gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ageusia, Anosmia — Feeling: Good
    Free text: Smell and taste still gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ageusia, Anosmia — Feeling: Good
    Free text: Smell and taste still gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-13
    Survey response — day 7, dose 2
    MedDRA: Ageusia, Anosmia — Feeling: Good
    Free text: Smell and taste still gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-23
    Dose 3 — Moderna
    Co-administered: Tetanus
  30. 2021-10-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Ageusia, Anosmia — Feeling: Good · Site: Pain
    Free text: No smell or taste sine I had my 1st shot in February
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain
    Free text: Smell and taste
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Ageusia, Anosmia — Feeling: Good
    Free text: No smell or taste since February
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction — Feeling: Good
    Free text: Same as yesterday
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-30
    Survey response — day 7, dose 3
    MedDRA: Ageusia, Anosmia — Feeling: Good
    Free text: Smell and taste gone
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-13
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-04-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-10-23
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Moderna
22021-03-06Moderna
32021-10-23Moderna Tetanus

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): Lost of smell

2021-02-09

Systemic reaction (other): Lost of smell last two days and today noticed that I cant taste anything.

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): Still cant smell or taste anything

2021-02-12

Systemic reaction (other): Smell and taste has still not teto

Release 4 — day 7, dose 1

2021-02-13

Systemic reaction (other): Smell and taste still gone

Release 4 — day 21, dose 1

2021-02-28

Symptoms: I still can not smell or taste anything. This has been going on since I got my first shot.

Release 5 — day 0, dose 2

2021-03-06

Systemic reaction (other): Lost of taste and smell

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Lost of taste and smell

2021-03-08

Systemic reaction (other): Smell and taste still gone

2021-03-09

Systemic reaction (other): No smell or taste

2021-03-10

Systemic reaction (other): Smell and taste still gone

2021-03-11

Systemic reaction (other): Smell and taste still gone

2021-03-12

Systemic reaction (other): Smell and taste still gone

Release 5 — day 7, dose 2

2021-03-13

Systemic reaction (other): Smell and taste still gone

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): No smell or taste sine I had my 1st shot in February

2021-10-26

Systemic reaction (other): Smell and taste

2021-10-27

Systemic reaction (other): No smell or taste since February

2021-10-28

Systemic reaction (other): Same as yesterday

Release 10 — day 7, dose 3

2021-10-30

Systemic reaction (other): Smell and taste gone

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
SDAgeusia ✓ ✓ ✓
SDAnosmia ✓ ✓ ✓
SROAdverse reaction · · ✓
SROAgeusia ✓ ✓ ✓
SROAnosmia ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROParosmia ✓ ✓ ✓
SROUnevaluable event · · ✓

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

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