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48S-29488-93771

3 vaccinations 3 coded responses 16 check-ins 3 free-text entries 1 call case
Sex
Male
Age at first dose
36-40
ZIP prefix
600 / IL
Registered
2021-12-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
2UX-16057-36885 Child or adolescent in my care · Male · 2021-12-06
2TB-16896-66192 Child or adolescent in my care · Male · 2022-06-22

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
2317382 (opens in a new window) high 11 / 11 3 5 of 6 VAERS symptoms same dose (3) IL matches 2021-12-07 / 2021-12-10 / 2022-06-13
received the same day as the last call
 case 774580

From the VAERS matching of call center cases (loader/vaers_match_*). Only the best match is shown, and only if it scores 8 or more out of 11. The score adds up timing (VAERS received soon after the call center contact), dose and shared symptoms; state only breaks ties. Confidence is high when the score is 8+ and at least 3 points ahead of the runner-up, medium when 5+ and 2 ahead, otherwise low. A match is a likely link, not a confirmed one.

Timeline

  1. 2021-04-14
    Dose 1 — Moderna
  2. 2021-05-14
    Dose 2 — Moderna
  3. 2021-12-06
    Registered in v-safe
  4. 2021-12-07
    Dose 3 — Moderna
  5. 2021-12-07
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  6. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea
    Adult check-in
  7. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  8. 2021-12-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  11. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  12. 2021-12-14
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2021-12-21
    Survey response — day 14, dose 3
    MedDRA: Gait disturbance, Muscular weakness, Pain in extremity, Rash pruritic, Tenderness, Urticaria — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Rash similar to hives, very itchy, appeared starting 12/18. Hand and foot pain/tenderness (possibly caused by edema). It is difficult to open bottles or to walk.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-12-28
    Survey response — day 21, dose 3
    MedDRA: Mechanical urticaria, Nasopharyngitis, Rash — Feeling: Fair
    Free text: Got a cold just as the previously mentioned rash was wrapping up. The rash persists as Dermography
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-01-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-01-11
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-01-18
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  18. 2022-03-08
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-06-09
    Survey response — 6 months, dose 3
    MedDRA: Chills, Pyrexia, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: 11 days after my booster, I had a significant itchy rash (systemic) accompanied by a low-grade fever and chills. I had no exposures outside of the household around this time, and no other household had it. Then possible hernia.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-06-09
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2022-06-10
  22. 2022-06-13
    Call successful
    Completed over the phone
  23. 2022-12-07
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-14Moderna No
22021-05-14Moderna No
32021-12-07Moderna No

Call center

1 call center case

1 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 10 — day 14, dose 3

2021-12-21

Symptoms: Rash similar to hives, very itchy, appeared starting 12/18. Hand and foot pain/tenderness (possibly caused by edema). It is difficult to open bottles or to walk.

Release 10 — day 21, dose 3

2021-12-28

Symptoms: Got a cold just as the previously mentioned rash was wrapping up. The rash persists as Dermography

Release 11 — 6 months, dose 3

2022-06-09

Symptoms: 11 days after my booster, I had a significant itchy rash (systemic) accompanied by a low-grade fever and chills. I had no exposures outside of the household around this time, and no other household had it. Then possible hernia.

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
SDChills · · ✓
SDGait disturbance · · ✓
SDMechanical urticaria · · ✓
SDMuscular weakness · · ✓
SDNasopharyngitis · · ✓
SDPain in extremity · · ✓
SDPyrexia · · ✓
SDRash · · ✓
SDRash pruritic · · ✓
SDTenderness · · ✓
SDUrticaria · · ✓

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

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