Adverse Event Reporting

VAERS ID 980164
Gender Female
Age 51
StateCode ID
Pharmaceutical Company MODERNA
Lot Number
Number of vaccinations 2
Vaccinated 2021-01-20
Onset 2021-01-20
Condition Permanent Disability
Symptoms
  • Fatigue
  • Pyrexia
  • Headache
  • Chills
  • Nausea
  • Abdominal pain upper
  • Decreased appetite
  • Myalgia
  • Blood alkaline phosphatase increased

Current Illness

None

Preexisting Conditions

Restless leg syndrome. Hypothyroidism; leg swelling; obesity

Other Medications

Tramadol, syntroid, furosemide, Potassium supplement, mirapex, vitamin D, B12 injection, carafate, cimetidine

Previous Vaccinations

Shigrix series

Allergies

Penicillin, chlorhexidine gluconate, Morphine, Codeine, hydrocodone, sulfa, Furadantin, neosporin, trazodone

Laboratory Data

Cmp showed elevated alk phos

Write-up

Fever, debilitating fatigue, muscle aches, headache, chills with rigors, nausea and loss of appetite , severe left ans right upper abdominal pain