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This is VAERS ID 1313665

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1313665
VAERS Form:2
Age:53.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-05-04
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040B21A / 2 RA / SYR

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 warmth, Insomnia, Muscle spasms, Pain, Somnolence, Injection site swelling, Pulmonary pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.

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