Adverse Event Reporting

VAERS ID	896636
Gender	Female
Age	47
StateCode	SC
Pharmaceutical Company	MODERNA
Lot Number
Number of vaccinations
Vaccinated	2020-09-28
Onset	2020-10-02
Condition

Symptoms

Current Illness

none

Preexisting Conditions

none

Other Medications

10mg Prozac daily

Previous Vaccinations

Allergies

tetracycline

Laboratory Data

OCT 6 RESEARCH CENTER FOR ADVERSE SICK VISTIT\\\ OCT 8TH MEDICAL CENTER \\\OCT 8TH EMERGENCY ROOM\\\ OCT 13TH PRIMARY CARE\\\0CT.
19TH MED CENTER\\\OCT.
26 PRIMARY CARE \\\OCT 30 TH PRIMARY CARE \\\NOV 2ND CHIROPRACTIC\\\ NOV 6TH PHYSICAL THEREAPY\\\ NOV 9TH CHIROPRACTIC \\\ NOV 11 NEUROLGY\\\ NOV 23 DR.
ORTHOPEDICS

Write-up

ARM SWELLING WITH PAIN, FEVER, FATIGUE, THEN CONFUSION, FORGETFULNESS, BRAIN FOG, EXTREME HEAD PRESSURE WITH FEVER THAT LASTED 2 WEEKS AFTER VACCINE.
ARM AND SHOULDER PAIN CONTINUED TO INCREASE AND STILL PRESENT.