Adverse Event Reporting
| VAERS ID | 979886 |
|---|---|
| Gender | Female |
| Age | 42 |
| StateCode | AR |
| Pharmaceutical Company | MODERNA |
| Lot Number | 041620A |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-08 |
| Onset | 2021-01-08 |
| Condition | Permanent Disability |
Symptoms
- Arthralgia
- Fatigue
- Feeling abnormal
- Pyrexia
- Headache
- Dizziness
- Pain
- Decreased appetite
- Chest X-ray normal
- Lymphadenopathy
- SARS-CoV-2 test negative
- Insomnia
- Urine analysis normal
- Influenza virus test negative
- Blood test normal
- Stomatitis
Current Illness
None
Preexisting Conditions
undifferentiated convective tissue disorder, Lupus, Hashimoto thyroid-ism, Celiac disease, Crest syndrome,Fibromyalgia, osteoarthritis
Other Medications
Hydrochlorothiazide 25MG once daily AzaTHIPprine 150MG once daily
Previous Vaccinations
Allergies
Penicillin, K flex, sulfa drugs, codeine, gluten, coconut, avocado
Laboratory Data
COVID-19 test twice both negative, Flu test negative, Chest X-ray negative,urine test normal, blood work normal,
Write-up
Moderna COVID-19 Vaccine Extreme Fatigue, Joint pain, Body pain, low grade fever of 99.
3 -100.
4, loss of appetite, Headaches, unable to sleep, mouth sores, swollen lymph nodes, brain fog (Dizzy headed)