metallic taste in mouth with all types of foods; cannot smell right, can hardly smell at all; nothing tastes right/somethings taste so bad/ could not even eat them anymore/can not eat spicy food, spaghetti sauce, salad dressing, peanut butter; This spontaneous case was reported by a patient and describes the occurrence of DYSGEUSIA (metallic taste in mouth with all types of foods), ANOSMIA (cannot smell right, can hardly smell at all) and TASTE DISORDER (nothing tastes right/somethings taste so bad/ could not even eat them anymore/can not eat spicy food, spaghetti sauce, salad dressing, peanut butter) in an elderly male patient who received mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (batch no. 055F22B) for COVID-19 prophylaxis.     He did have a history of mild COVID with runny nose and mild symptoms.  The patient's past medical history included COVID-19 (history of mild COVID with runny nose and mild symptoms).    On 28-Oct-2022, the patient received fifth dose of mRNA-1273 BIVALENT .222 (MODERNA COVID-19 VACCINE, BIVALENT (ORIGINAL AND OMICRON BA.4/BA.5)) (unknown route) 1 dosage form. On an unknown date, the patient experienced DYSGEUSIA (metallic taste in mouth with all types of foods), ANOSMIA (cannot smell right, can hardly smell at all) and TASTE DISORDER (nothing tastes right/somethings taste so bad/ could not even eat them anymore/can not eat spicy food, spaghetti sauce, salad dressing, peanut butter). At the time of the report, DYSGEUSIA (metallic taste in mouth with all types of foods), ANOSMIA (cannot smell right, can hardly smell at all) and TASTE DISORDER (nothing tastes right/somethings taste so bad/ could not even eat them anymore/can not eat spicy food, spaghetti sauce, salad dressing, peanut butter) had not resolved.       Company Comment: This spontaneous case concerns a 71-year-old male patient with no relevant medical history reported, who experienced the unexpected non-serious AESI anosmia along with the non-serious unexpected events of dysgeusia and taste disorder. A fifth dose of mRNA-1273.222 vaccine was administered. Onset dates of the events was not provided hence latency cannot be assessed.  It was reported patient was experiencing metallic taste in his mouth with all types of foods. He mentioned that the metallic taste never went away. Also, he could not smell right ever since he got the Moderna shots, in fact, he could hardly smell at all.  Some things taste so bad, that he could not even eat them anymore. He felt that the taste of at least 75% of the food he ate was affected. He was concerned because his side effect has not gone away at all. The benefit-risk relationship of mRNA-1273.222 vaccine is not affected by this report.     No concomitant medication were reported. On 8APR2021, patient received first Moderna dose (Lot number 031A211A). On 9MAY2021, patient received second Moderna dose (Lot number 001C21A). On 10NOV2021, patient received third Moderna dose (Lot number 051F21A). On 8APR2022, patient received fourth Moderna dose (Lot number 001M21A). It was reported that the patient was still experiencing the metallic taste in his mouth with all types of foods. He mentioned that the metallic taste never went away. Also, he could not smell right ever since he got the Moderna shots, in fact, he could hardly smell at all. His wife lit a candle the other day and he could not smell it. He could not eat spicy food, spaghetti sauce, salad dressing, peanut butter because nothing tastes right. Some things taste so bad, that he could not even eat them  anymore. He felt that the taste of at least 75% of the food he ate was affected. He could taste and eat sweet and certain raw vegetables like cauliflower and carrot. He was concerned because his side effect has not gone away at all. No treatment information was provided by the reporter.   This case was linked to MOD-2022-667078, MOD-2022-666960, MOD-2021-290650 (Patient Link).; Sender's Comments: This spontaneous case concerns a 71-year-old male patient with no relevant medical history reported, who experienced the unexpected non-serious AESI anosmia along with the non-serious unexpected events of dysgeusia and taste disorder. A fifth dose of mRNA-1273.222 vaccine was administered. Onset dates of the events was not provided hence latency cannot be assessed.  It was reported patient was experiencing metallic taste in his mouth with all types of foods. He mentioned that the metallic taste never went away. Also, he could not smell right ever since he got the Moderna shots, in fact, he could hardly smell at all.  Some things taste so bad, that he could not even eat them anymore. He felt that the taste of at least 75% of the food he ate was affected. He was concerned because his side effect has not gone away at all. The benefit-risk relationship of mRNA-1273.222 vaccine is not affected by this report.