National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1371769

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371769
VAERS Form:2
Age:32.0
Sex:Female
Location:Indiana
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Arthralgia, Confusional state, Depressed mood, Dyspnoea, Fatigue, Headache, Muscular weakness, Myalgia, Nausea, Pain in extremity, Pyrexia, Swelling face, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: 32 years old 1 month ago First dose of moderna
Other Medications: Effexor, Buspar, Wellbutrin, lisinapril
Current Illness: None
Preexisting Conditions: Depression, Anxiety
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Swollen & painful arm Facial swelling Joint and muscle pain/weakness Exhaustion Fever Shortness of breath Headache Nausea Confusion Feeling more depressed

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371769&WAYBACKHISTORY=ON


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