Adverse Event Reporting

VAERS ID 940395
Gender Female
Age 30
StateCode NJ
Pharmaceutical Company MODERNA
Lot Number O37K28
Number of vaccinations 1
Vaccinated 2021-01-06
Onset 2021-01-06
Condition Recovered
Symptoms
  • Fatigue
  • Dizziness
  • Paraesthesia
  • Injection site pain
  • Immediate post-injection reaction
  • Mobility decreased
  • Sleep disorder
  • Exposure during pregnancy
  • Loss of personal independence in daily activities

Current Illness

No

Preexisting Conditions

No

Other Medications

Prenatal Vit, Vit D

Previous Vaccinations

Allergies

No

Laboratory Data

Write-up

I exp pain immediately following on injection site, fingers tingling on left side and couldn't lift laterally.
The pain felt on scale of 1-10 a 10 also exp dizziness.
114/68 around 4:30pm I couldn't utilize left arm at all.
When I got home around 8pm spouse had to assist in showering still felt dizzy.
I tried to go to sleep was awoken by the pain couldn't sleep on left side.
The next day felt exhausted and still in pain took Tylenol every 6 hrs.
On day 3 the pain start to improve had movement left arm.
My(estimated date of delivery 6/1/2021).