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NT4-12761-33472

2 vaccinations 1 coded response 22 check-ins 1 free-text entry 1 call case
Sex
Male
Age at first dose
0-4
ZIP prefix
921 / CA
Registered
2022-06-28
Relationship
Child or adolescent in my care
Guardian
MSE-27006-24946
Race
Other
Ethnicity
Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
2369485 (opens in a new window) high 9 / 11 — 1 of 16 VAERS symptoms same dose (1) CA matches 2022-06-28 / 2022-07-07 / 2022-07-14
received the same day as the last call
 case 849524

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. 2022-06-28
    Registered in v-safe
  2. 2022-06-28
    Dose 1 — Moderna
  3. 2022-06-28
    Health check-in — day 0, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  4. 2022-06-29
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  5. 2022-06-30
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  6. 2022-07-01
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  7. 2022-07-02
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  8. 2022-07-03
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  9. 2022-07-04
    Health check-in — days 1–6 daily, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  10. 2022-07-05
    Health check-in — day 7, dose 1, dependent
    Feeling: Good · None
    Adult check-in
  11. 2022-07-12
    Survey response — day 14, dose 1, dependent
    MedDRA: Abdominal pain, Dysgeusia, Injection site erythema, Injection site rash, Toothache — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: A week and a half after his shot he developed a circular rash/redness at shot area. He also complained of tummy ache and that his food didn't taste good and it hurt to brush his teeth.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-07-12
    Report sent to call center — day 14, dose 1, dependent
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  13. 2022-07-13
  14. 2022-07-14
    Call successful
    Completed over the phone
  15. 2022-07-19
    Health check-in — day 21, dose 1, dependent
    Feeling: Good
    Adult check-in
  16. 2022-07-26
    Health check-in — day 28, dose 1, dependent
    Feeling: Good
    Adult check-in
  17. 2022-07-29
    Dose 2 — Moderna
  18. 2022-08-02
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  19. 2022-08-03
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2022-08-04
    Health check-in — days 1–6 daily, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  21. 2022-08-05
    Health check-in — day 7, dose 2, dependent
    Feeling: Good · None
    Adult check-in
  22. 2022-08-12
    Health check-in — day 14, dose 2, dependent
    Feeling: Good
    Adult check-in
  23. 2022-08-20
    Health check-in — day 21, dose 2, dependent
    Feeling: Good
    Adult check-in
  24. 2022-08-26
    Health check-in — day 28, dose 2, dependent
    Feeling: Good
    Adult check-in
  25. 2022-09-02
    Health check-in — day 35, dose 2, dependent
    Feeling: Good
    Adult check-in
  26. 2022-09-09
    Health check-in — day 42, dose 2, dependent
    Feeling: Good
    Adult check-in
  27. 2022-10-28
  28. 2023-01-27

Vaccinations

DoseDateManufacturerCo-administered
12022-06-28Moderna No
22022-07-29Moderna 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 12 — day 14, dose 1, dependent

2022-07-12

Symptoms: A week and a half after his shot he developed a circular rash/redness at shot area. He also complained of tummy ache and that his food didn't taste good and it hurt to brush his teeth.

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
SDAbdominal pain · · ✓
SDDysgeusia · · ✓
SDInjection site erythema · · ✓
SDInjection site rash · · ✓
SDToothache · · ✓

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

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