Adverse Event Reporting

VAERS ID 1825461
Gender Female
Age 61
StateCode MD
Pharmaceutical Company MODERNA
Lot Number 939904
Number of vaccinations 3
Vaccinated 2021-10-25
Onset 2021-10-25
Condition Recovered
  • Fatigue
  • Pain in extremity
  • Nausea
  • Decreased appetite
  • Body temperature increased
  • Joint range of motion decreased

Current Illness

hay fever

Preexisting Conditions

sicca, osteoarthritis

Other Medications

Fluoxetine, nexium, tramadol, tylenol, methotrexate, prednisone, folic acid, b-complex, alpha lipoic acid, vit d, fish oil,

Previous Vaccinations

Fever Moderna vaccine #2 03/10/2021


almonds, sulfa drugs, cephalosporins, dilaudid

Laboratory Data



debilitating pain in arm, unable to raise arm the morning after the vaccine 10/26.
Nausea and lack of appetite the second and third days 26th and 27th temperature between 100.
4 and 101.
9 for 2 days after vaccine 26th and 27th and fatigue.
Still have some fatigue and soreness in the arm but no fever or nausea.