Adverse Event Reporting

VAERS ID 958054
Gender Female
Age 25
StateCode CT
Pharmaceutical Company MODERNA
Lot Number 026L20A
Number of vaccinations 1
Vaccinated 2021-01-02
Onset 2021-01-03
Condition Permanent Disability
Symptoms
  • Fatigue
  • Impaired work ability
  • SARS-CoV-2 test negative

Current Illness

None

Preexisting Conditions

Lyme disease ( possible)

Other Medications

Xyzal (occationally) multivitamin

Previous Vaccinations

Allergies

Wellbutrin , tree nuts

Laboratory Data

Negative covid results

Write-up

Extreme fatigue since getting shot - effecting ability to work