Adverse Event Reporting

VAERS ID 1001912
Gender Female
Age 34
StateCode PR
Pharmaceutical Company MODERNA
Lot Number 011J20A
Number of vaccinations
Vaccinated 2020-02-20
Onset 2021-01-20
Condition Permanent Disability
  • Fatigue
  • Peripheral swelling
  • Pyrexia
  • Hypoaesthesia
  • Headache
  • Chills
  • Dyspnoea
  • Nausea
  • Swelling face
  • Dysphagia
  • Neck pain
  • Pain in jaw
  • Facial paralysis
  • Facial pain
  • Ear pain
  • Eyelid ptosis

Current Illness

depression, epilepsy, asthma, gastritis, anxiety, hypoglycemia

Preexisting Conditions

depression, epilepsy, asthma, gastritis, anxiety, hypoglycemia

Other Medications

Prozac 20mg

Previous Vaccinations


Laboratory Data


After the fever of 40C, chills, tiredness, nausea, headache.
Started to feel pain on the left side of my face.
Next day the pain has spread to my neck and ear.
On day number three they felt numb, day number four lots of pain on my jaw.
Day number 5 I couldn't even swallow and had difficulty breathing.
When I looked in the mirror the left side of my face was very swollen like a ball and my face looked like it was paralyzed.
I went to the ER where I was seen, but it remains the same days afterwards.
My cheek doesn't look the same, looks bigger and the eye is droopy, my neck and ear hurts, it is difficult to swallow.
My left arm is numb and swollen.