Adverse Event Reporting

VAERS ID 971281
Gender Female
Age 65
StateCode OK
Pharmaceutical Company MODERNA
Lot Number 011L20A
Number of vaccinations 1
Vaccinated 2021-01-14
Onset 2021-01-15
Condition Permanent Disability
Symptoms
  • Pain in extremity
  • Hypoaesthesia
  • Feeling hot
  • Sensory disturbance
  • Injection site erythema
  • Injection site swelling
  • Injection site pruritus
  • Injection site warmth
  • Burning sensation
  • Sleep disorder
  • SARS-CoV-2 antibody test negative
  • Injection site mass

Current Illness

none

Preexisting Conditions

hypothyrodism Hypertension Prediabetes High cholesterol

Other Medications

Metformin Losartan pravastatin CoQ10 Quercetin Melatonin Levothyroxine Liothyronine

Previous Vaccinations

Allergies

Demerol Meloxicam Crestor

Laboratory Data

On Friday, January 22, I opted to stop by LabCorp for a Covid antibody test.
The results were negative.

Write-up

1.
swelling, redness, heat, itching at injection site.
Lasting 10 days.
Peak discomfort at day 8.
Hard lump, hot to touch, red, strong itch.
Was 3 inches by two inches.
The arm is now back to normal.
.
2.
Day 8.
Woke at roughly midnight with extreme heat and burning in all toes.
Quite painful.
Very unusual, as I have never experienced anything like this before.
When pain and burning became overwhelming I took Tylenol.
It helped and I was able to sleep.
The next morning the pain and burning were gone but my toes were, and continue to be quite numb, as is the area of my feet that surrounds my toes.
I can't fully feel my socks, shoes, sheets, etc.
It feel like I have cotton stuffed in my shoes.
It is hard for me to related the level of heat, burning and pain that happened.
I felt like I could melt a block of ice with my feet.
It was severe.
I marked "disability or permanent damage" below because I don't know if the nerves in my feet will return to normal.