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RWR-28286-29620

3 vaccinations 3 coded responses 7 check-ins 0 free-text entries 2 call cases
Sex
Male
Age at first dose
0-4
ZIP prefix
921 / CA
Registered
2023-04-11
Relationship
Child or adolescent in my care
Guardian
NF2-12809-91526
Race
Multiracial
Ethnicity
Hispanic or Latino

Possible VAERS report

VAERS IDConfidenceScoreRunner-upShared symptomsDose StateVAERS vaccinated / onset / receivedCall case
2613866 (opens in a new window) high 9 / 11 — 2 of 12 VAERS symptoms same dose (3) CA matches 2023-03-29 / 2023-04-04 / 2023-04-12
received the same day as the last call
 case 507019

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. 2023-01-03
    Dose 1 — Moderna
  2. 2023-01-31
    Dose 2 — Moderna
  3. 2023-03-29
    Dose 3 — Moderna
  4. 2023-04-11
    Registered in v-safe
  5. 2023-04-11
    Survey response — day 7, dose 3, under 3
    MedDRA: Malaise, Office visit — Feeling: Fair · Site: Pain · Irritability/crying · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  6. 2023-04-11
    Report sent to call center — day 7, dose 3, under 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2023-04-12
    Survey response — day 14, dose 3, under 3
    MedDRA: COVID-19, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11
  8. 2023-04-12
    Report sent to call center — day 14, dose 3, under 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2023-04-12
    Call successful
    Completed over the phone
  10. 2023-04-12
    Call successful
    Reported to VAERS during previous contact from GDIT
  11. 2023-04-19
    Health check-in — day 21, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  12. 2023-04-26
    Health check-in — day 28, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  13. 2023-05-03
    Health check-in — day 35, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  14. 2023-05-10
    Health check-in — day 42, dose 3, under 3
    Feeling: Good
    Under 3 check-in
  15. 2023-06-28
    Survey response — 3 months, dose 3, under 3
    MedDRA: Nasopharyngitis — Feeling: Fair
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12023-01-03Moderna No
22023-01-31Moderna No
32023-03-29Moderna No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

None.

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
HCVOOffice visit · · ✓
HCVOUnevaluable event · · ✓
SDCOVID-19 · · ✓
SDNasopharyngitis · · ✓
SROMalaise · · ✓

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

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