Adverse Event Reporting

VAERS ID 1296819
Gender Male
Age 53
StateCode PA
Pharmaceutical Company MODERNA
Lot Number 039K20A
Number of vaccinations
Vaccinated 2021-01-05
Onset 2021-01-06
Condition Permanent Disability
Symptoms
  • Arthralgia
  • Peripheral swelling
  • Asthenia
  • Blood test
  • Balance disorder
  • Pelvic pain
  • Computerised tomogram head
  • X-ray limb
  • Ultrasound Doppler
  • X-ray of pelvis and hip

Current Illness

none

Preexisting Conditions

Diabectic hypertension

Other Medications

Metformin, losartin B12 Basaglar

Previous Vaccinations

Allergies

none

Laboratory Data

Head Catscan Xrays of right shoulder and right hip left lower leg vascular scan and bloodwork.

Write-up

Pain in right shoulder joint, pan In right hip joint,.
Pain in lower pelvic area and leftlower leg swelling.
Difficulty keeping balance at times.
loss of strength to right shoulder and right hip