Adverse Event Reporting

VAERS ID 1893906
Gender Female
Age 64
StateCode
Pharmaceutical Company MODERNA
Lot Number 045A21A
Number of vaccinations 1
Vaccinated 2021-03-23
Onset 2021-03-27
Condition Permanent Disability
Symptoms
  • Headache
  • Tremor
  • Dyspnoea
  • Heart rate irregular
  • Burning sensation
  • Computerised tomogram
  • Discomfort
  • Gait disturbance
  • Cardiac monitoring
  • Echocardiogram
  • Breast engorgement
  • Electric shock sensation
  • Pulmonary function test

Current Illness

none

Preexisting Conditions

start of copd

Other Medications

none

Previous Vaccinations

Allergies

peanuts

Laboratory Data

Write-up

Severe Headaches (24/7) Felt like burning needles pushing through my head (Symptoms subsided after about 6 months to about once per month/30 min) Irregular Heart Beat /Tremors (constant)-Saw Cardiologist: CT Scan/Monitor/Ultrasound (Symptoms are less but continue after 8 months.
Still very erratic & debilitating) Lungs-Burning/Pressure/Out of Breath.
Testing done: Pulmonary Function Tests/CT Scan.
Dr.
Appt is in Jan.
2022.
(Symptoms have very slightly lessened.
Lungs still burning, unable to walk any distance or do any laborous chores Breasts-Feel engorged.
Shock like feelings in arms & legs