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GMU-16940-08619

3 vaccinations 4 coded responses 36 check-ins 1 free-text entry 1 call case
Sex
Female
Age at first dose
0-4
ZIP prefix
152 / PA
Registered
2022-11-28
Relationship
Child or adolescent in my care
Guardian
427-11441-32264
Race
White
Ethnicity
Not Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
2603996 (opens in a new window) high 10 / 11 — 2 of 6 VAERS symptoms same dose (3) PA matches 2023-03-20 / 2023-03-24 / 2023-03-27
received the same day as the last call
 case 398390

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. 2022-11-28
    Registered in v-safe
  2. 2022-11-28
    Dose 1 — Moderna
    Co-administered: Flu:Rotavirus:Tetanus
  3. 2022-11-28
    Health check-in — day 0, dose 1, under 3
    Feeling: Good · Site: Redness · None
    Under 3 check-in
  4. 2022-11-29
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · Site: Redness · None
    Under 3 check-in
  5. 2022-11-30
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  6. 2022-12-01
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  7. 2022-12-02
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  8. 2022-12-03
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  9. 2022-12-04
    Health check-in — days 1–6 daily, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  10. 2022-12-05
    Health check-in — day 7, dose 1, under 3
    Feeling: Good · None
    Under 3 check-in
  11. 2022-12-12
    Health check-in — day 14, dose 1, under 3
    Feeling: Good
    Under 3 check-in
  12. 2022-12-19
    Survey response — day 21, dose 1, under 3
    MedDRA: Pyrexia — Feeling: Poor · Be unable to work or attend school
    Free text: (b)(6) woke up with a fever of 103F today. She is experiencing no other symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-12-29
    Dose 2 — Moderna
    Co-administered: Flu:Hib:Other
  14. 2022-12-29
    Health check-in — day 0, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  15. 2022-12-30
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  16. 2022-12-31
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  17. 2023-01-01
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  18. 2023-01-02
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  19. 2023-01-03
    Health check-in — days 1–6 daily, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  20. 2023-01-05
    Health check-in — day 7, dose 2, under 3
    Feeling: Good · None
    Under 3 check-in
  21. 2023-01-12
    Health check-in — day 14, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  22. 2023-01-19
    Health check-in — day 21, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  23. 2023-01-28
    Health check-in — day 28, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  24. 2023-02-02
    Health check-in — day 35, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  25. 2023-02-09
    Health check-in — day 42, dose 2, under 3
    Feeling: Good
    Under 3 check-in
  26. 2023-03-20
    Dose 3 — Moderna
  27. 2023-03-20
    Health check-in — day 0, dose 3, under 3
    Feeling: Fair · Site: Redness · Irritability/crying
    Under 3 check-in
  28. 2023-03-21
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  29. 2023-03-22
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  30. 2023-03-23
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  31. 2023-03-24
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Good · None
    Under 3 check-in
  32. 2023-03-25
    Survey response — days 1–6 daily, dose 3, under 3
    MedDRA: Dysphonia, Ear infection — Feeling: Poor · Fever · Irritability/crying · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  33. 2023-03-25
    Report sent to call center — days 1–6 daily, dose 3, under 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  34. 2023-03-26
    Health check-in — days 1–6 daily, dose 3, under 3
    Feeling: Fair · Irritability/crying
    Under 3 check-in
  35. 2023-03-27
    Survey response — day 7, dose 3, under 3
    MedDRA: Ear infection — Feeling: Poor · Fever · Irritability/crying · Be unable to work or attend school
    MedDRA releases: 2024-11
  36. 2023-03-27
    Call successful
    Completed over the phone
  37. 2023-04-03
    Health check-in — day 14, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  38. 2023-04-10
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  39. 2023-04-17
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  40. 2023-04-24
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  41. 2023-05-03
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  42. 2023-06-19
    Survey response — 3 months, dose 3, under 3
    MedDRA: Hand-foot-and-mouth disease — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12022-11-28Moderna Flu:Rotavirus:Tetanus
22022-12-29Moderna Flu:Hib:Other
32023-03-20Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2023-03-25 Successful
2023-03-27
 Completed over the phone

Free text

Release 12 (Under 3) — day 21, dose 1, under 3

2022-12-19

Symptoms: (b)(6) woke up with a fever of 103F today. She is experiencing no other symptoms.
redacted (b)(6)

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
SDHand-foot-and-mouth disease · · ✓
SDPyrexia · · ✓
SRODysphonia · · ✓
SROEar infection · · ✓

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

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