Adverse Event Reporting
| VAERS ID | 924690 |
|---|---|
| Gender | Female |
| Age | 38 |
| StateCode | NC |
| Pharmaceutical Company | MODERNA |
| Lot Number | 039K20A |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-05 |
| Onset | 2021-01-05 |
| Condition | Permanent Disability |
Symptoms
- Chills
- Pain
- Impaired work ability
- Body temperature increased
- Injection site reaction
- Contusion
- Joint range of motion decreased
- Musculoskeletal disorder
- Inflammation
Current Illness
None
Preexisting Conditions
Pericardial effusion (fluid around heart) mostly resolved after surgery few months ago Year around allergies
Other Medications
Benadryl, vitamin d, vitamin b12
Previous Vaccinations
Allergies
None
Laboratory Data
Dr visit at immediate care
Write-up
Three to four hours after vaccine had bruising, major loss of range of motion, severe sharp pain, elevated temp and chills due to reaction of injection site Treatment given 24 hrs later- strong antibiotics, anti inflammatory, exercise, and three days out of work Due to loss of function of left arm due to inflammation