National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 7/23/2021 release of VAERS data:

This is VAERS ID 1313665

Case Details

VAERS ID: 1313665 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: New Hampshire  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Body temperature increased, Burning sensation, Chills, Disorientation, Dyspnoea, Feeling abnormal, Gait disturbance, Headache, Incontinence, Injection site reaction, Injection site swelling, Injection site warmth, Insomnia, Muscle spasms, Pain, Pulmonary pain, Somnolence
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: To the first Moderna shot on 04/06/2021
Other Medications: Metoprolol, Lisinipril, Allopurinol, vitamin D, Fish Oil
Current Illness:
Preexisting Conditions: COVID related asthma and COVID related SVT
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Starting around 9 PM, I had chills and felt my temperature going up. By 10:30, I had more than full body chills. They were like full body spasms that made it hard to breathe. My fever went to 103 degrees. I tried to sleep, but it was extremely difficult. I did finally sleep, I woke up and I had difficulty managing my body, hands, and brain. I lost bladder control. I took my temperature and it was 104. Went back to bed with difficulty. I woke up a couple more times with the same result. However, I didn''t have the brain power to take my temperature again. I could barely find the light switches and almost went into the closet instead of the bathroom. (That''s what my husband told me) 8 or 9 am, my fever was down to 102 degrees, my head felt like someone was splitting it open and my body felt like I had bruises from head to toe. I was awake MAYBE an hour all day that day. My lungs were on fire and I was short of breath again. It was like I was recovering from COVID pneumonia again. My doctor prescribed prednisone for my lungs. My right arm had a reaction below the injection site. It was swollen and hot. My left arm that had gotten the first injection also started hurting again. It was also swollen and hot.

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166