Adverse Event Reporting

VAERS ID 917717
Gender Unknown
Age
StateCode PA
Pharmaceutical Company MODERNA
Lot Number 011J20A
Number of vaccinations 1
Vaccinated
Onset
Condition
Symptoms
  • Fatigue
  • Pain in extremity
  • Headache
  • Pain
  • Neck pain
  • Axillary pain
  • Paranasal sinus discomfort
  • Gingival swelling
  • Oral pain

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

1 -1/2 hours after vaccine I statred with a mild headache that is still lingering, Jan.
1st I was fine, Jan 2nd I had fatigue, by night time I had mild body aches, mouth pain, sinus pressure, swollen gums, and extreme fatigue.
Jan 3rd mild sinus pressure, only left arm pain into arm pit area, neck pain and fatigue.