Y4T-16870-47086

1 vaccination 4 coded responses 13 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 21-25
ZIP prefix: 967 / HI
Registered: 2020-12-29

Relationship: Self

Possible VAERS report

VAERS ID	Confidence	Score	Runner-up	Shared symptoms	Dose	State	VAERS vaccinated / onset / received	Call case
1052992 (opens in a new window)	high	11 / 11	3	3 of 4 VAERS symptoms	same dose (1)	HI matches	2020-12-29 / 2020-12-29 / 2021-02-24 received the same day as the last call	case 46478

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

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Moderna
2020-12-29
Survey response — day 0, dose 1
MedDRA: Injection site pain — Feeling: Fair · Muscle or body aches

Free text: I'm only sore where I got the shot in my arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Only my arm is sore where I got the shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Dizziness, Dyspnoea, Headache, Medical observation — Feeling: Good

Free text: I got my vaccine Tuesday, December 29th. I felt fine after getting it and went to work afterwards. I conducted a safety care training outside where it was pretty hot. That night I started feeling really lightheaded like I was going to pass out. It hurt really bad to breathe and was hard to get air in. And I had a small headache. I have asthma so I assumed that's what I was feeling. I went to the ER because the primary care doctor on call recommended it. The doctor at the ER told me it was just my asthma and I would be fine. He sent me without running any tests. When I got a second opinion from another doctor she said it might be best to not get the second shot since I had a really bad asthma flare up. I didn't feel ok until Thursday night. I'm completely ok now though. Thank you for allowing me to take the vaccine. I'm not sure yet if I will get the second shot but I'm very thankful for the opportunity and I'm still open to talking to someone from the CDC to get their recommendation on whether or not I should get the second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Survey response — day 14, dose 1
MedDRA: Asthma, Feeling abnormal, Impaired work ability, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: My brain is really foggy and I keep making small errors in my work. I also sometimes have to use my inhaler for my asthma

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-01-26
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-02-02
Health check-in — day 35, dose 1
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 42, dose 1
Feeling: Good

Adult check-in
2021-02-23
Call 1 — Left Voicemail
2021-02-24
Call 2 — Left Voicemail
2021-02-24
Call successful
Completed over the phone

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Moderna

Call center

Reported	Outcome	VAERS-related outcome
2021-01-12	Successful 2021-02-24	Completed over the phone

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): I'm only sore where I got the shot in my arm

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Only my arm is sore where I got the shot.

2021-01-03

Systemic reaction (other): I got my vaccine Tuesday, December 29th. I felt fine after getting it and went to work afterwards. I conducted a safety care training outside where it was pretty hot. That night I started feeling really lightheaded like I was going to pass out. It hurt really bad to breathe and was hard to get air in. And I had a small headache. I have asthma so I assumed that's what I was feeling. I went to the ER because the primary care doctor on call recommended it. The doctor at the ER told me it was just my asthma and I would be fine. He sent me without running any tests. When I got a second opinion from another doctor she said it might be best to not get the second shot since I had a really bad asthma flare up. I didn't feel ok until Thursday night. I'm completely ok now though. Thank you for allowing me to take the vaccine. I'm not sure yet if I will get the second shot but I'm very thankful for the opportunity and I'm still open to talking to someone from the CDC to get their recommendation on whether or not I should get the second shot.

Release 1 — day 14, dose 1

2021-01-12

Symptoms: My brain is really foggy and I keep making small errors in my work. I also sometimes have to use my inhaler for my asthma

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

Field	Preferred term	2021-09	2023-04	2024-11
SD	Asthma	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site joint pain	○	○	○
SRO	Injection site pain	✓	✓	✓
SRO	Medical observation	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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