Adverse Event Reporting
| VAERS ID | 986735 |
|---|---|
| Gender | Female |
| Age | 63 |
| StateCode | TX |
| Pharmaceutical Company | MODERNA |
| Lot Number | |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-23 |
| Onset | 2020-12-24 |
| Condition | Hospitalized Permanent Disability |
Symptoms
- Arthralgia
- Pain in extremity
- Hypoaesthesia
- Paraesthesia
- Pain
- Musculoskeletal chest pain
- Back pain
- Cardiac monitoring
- X-ray limb normal
- Magnetic resonance imaging spinal abnormal
- Computerised tomogram spine
- Intervertebral disc protrusion
Current Illness
none
Preexisting Conditions
Lupus anticoagulant taking Xeralto
Other Medications
XeRALTO
Previous Vaccinations
Allergies
solu-cortif
Laboratory Data
Admitted to hospital - 1/22/2021 to 1/24/2022
Write-up
First Moderna vaccine administered 12/23/2020.
On or about 12/24/2020 paresthesia began in forearm and upper.
On or about 12/28/2020 mild to moderate 5/10 began of left shoulder radiating down to left arm, x-rays were done on left shoulder and humerus.
No acute findings noted.
Few days later Medrol dose pak was ordered due worsening pain of left upper back, left arm and hand.
01/19/2021 telemedicine with MD to get stronger pain medication.
Norco 10/325 mg was prescribed.
1/20/2021 second Moderna was given.
~pain 8/10 started morning of 1/21/2021.
I used heat/ice therapy and Norco pain decreased to 7/10.
Morning of 1/22/2021 pain ( upper back entire left arm and left chest wall) became unbearable thus, went to ER to rule out heart attack.
I was admitted for pain management and cardiac monitoring.
CT of the c-spine and t- spine was ordered.
No acute findings.
Discharged to home.
Discharge to home with carbamazepine.
My PCP, ordered MRI of c- spine and t- spine.
Multiple levels of small herniations in c-spine reported.
Appt with ortho physician 1/27/2020.
He recommended neck injections which is pending at this point.
Continue with pain 7/10 and numbness of digit 4 and 5 left hand