| VAERS ID: |
1242964 (history) |
| Form: |
Version 2.0 |
| Age: |
28.0 |
| Sex: |
Female |
| Location: |
Indiana |
| Vaccinated: | 2021-04-12 |
| Onset: | 2021-04-12 |
| Days after vaccination: | 0 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-04-22 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA |
021B21A / 1 |
LA / SYR |
Administered by: Other Purchased by: ?
Symptoms: Abnormal faeces,
Breast feeding,
Fatigue,
Irritability,
Pyrexia,
Urine output decreased
SMQs:, Acute renal failure (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Biliary system related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hostility/aggression (broad), Chronic kidney disease (broad), Noninfectious diarrhoea (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (broad)
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: prenatal vitamin, vit D, iron, vit C, magnesium, probiotic
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: levoquin/cipro medications, potentially to pertussis vaccine, some adhesives, some nuts, fruits and vegetables (oro-allergy syndrome from environmental allergies)
Diagnostic Lab Data: Check up at doctor on 4/14/21. Doctor examined ears for ear infection(s), gums for signs of teething, heart and lung sounds etc and said that she could find no visible explanation for the the fever, fussiness, sleepiness or bowel changes.
CDC Split Type:
Write-up: I am currently *breastfeeding* a male baby who was 9.5mo old at time of *my* vaccine. That afternoon he took an unusually long nap, was unusually cranky and lethargic during the day; and by evening had a 100.7*F fever. He slept through the night (skipping his nightly feed--this has only ever happened three times since birth so very uncommon) and was still cranky and tired/sleepy the next day. His fever broke about 30hrs after onset. He has since had a significant change in wet/dirty diapers-- his total, daily wet diapers have decreased and his dirty diapers have gone from semi-solid stool to very wet, more explosive, and incredibly grainy/gritty ever since (it''s been a week and a half now since my dose). I have continued to breastfeed during this whole time. |
