YJC-22095-09877

4 vaccinations 10 coded responses 23 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 981 / WA
Registered: 2021-02-03

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-11
Dose 1 — Moderna
2021-02-03
Registered in v-safe
2021-02-03
Survey response — day 21, dose 1
MedDRA: Middle insomnia, Parosmia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: For two weeks I am smelling car exhaust. 24 hours a day and it sometimes wakes me up at night. It's somewhat intense and has not lessened at anytime.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-08
Dose 2 — Moderna
2021-02-08
Survey response — day 0, dose 2
MedDRA: Parosmia, Pharyngeal swelling, Throat irritation — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: increase in car exhaust smell some mild throat irritation and swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site vesicles — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: 2 large blisters at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: All over tingling feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-22
Survey response — day 14, dose 2
MedDRA: Parosmia — Feeling: Good

Free text: Everything started to smell like car exhaust again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 28, dose 2
MedDRA: Parosmia — Feeling: Good

Free text: The smell of exhaust keeps returning and sometimes its overwhelming.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — day 35, dose 2
MedDRA: Hallucination, olfactory — Feeling: Good

Free text: I still smell exhaust that comes and goes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 42, dose 2
MedDRA: Parosmia — Feeling: Good

Free text: Still smelling exhaust

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Call 1 — Left Voicemail
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Moderna
2022-02-08
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-14
Dose 4 — Moderna
2022-04-22
Survey response — day 7, dose 4
MedDRA: Pyrexia — Feeling: Good · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fever spikes

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-05
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-10-13
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-14
Survey response — 12 months, dose 4
MedDRA: Graves' disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-11	Moderna
2	2021-02-08	Moderna
3	2021-10-01	Moderna	No
4	2022-04-14	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-03	Unsuccessful

Free text

Release 3 — day 21, dose 1

2021-02-03

Symptoms: For two weeks I am smelling car exhaust. 24 hours a day and it sometimes wakes me up at night. It's somewhat intense and has not lessened at anytime.

Release 3 — day 0, dose 2

2021-02-08

Systemic reaction (other): increase in car exhaust smell some mild throat irritation and swelling

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): 2 large blisters at injection site

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): All over tingling feeling

Release 4 — day 14, dose 2

2021-02-22

Symptoms: Everything started to smell like car exhaust again.

Release 5 — day 28, dose 2

2021-03-08

Symptoms: The smell of exhaust keeps returning and sometimes its overwhelming.

Release 5 — day 35, dose 2

2021-03-15

Symptoms: I still smell exhaust that comes and goes.

Release 6 — day 42, dose 2

2021-03-22

Symptoms: Still smelling exhaust

Release 11 — day 7, dose 4

2022-04-22

Systemic reaction (other): Fever spikes

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	Graves' disease	·	·	✓
SD	Hallucination, olfactory	✓	✓	✓
SD	Middle insomnia	✓	✓	✓
SD	Parosmia	✓	✓	✓
SRO	Injection site vesicles	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Parosmia	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Throat irritation	✓	✓	✓

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