National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1390349

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1390349
VAERS Form:2
Age:46.0
Sex:Female
Location:California
Vaccinated:2021-06-04
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal pain upper, Blood pressure increased, Chest pain, Constipation, Diarrhoea, Dry mouth, Eye pain, Headache, Injection site pain, Lymphadenopathy, Muscle spasms, Nasal dryness, Nausea, Neck pain, Otorrhoea, Pain, Thirst, Decreased appetite

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: Sore arm where shot was given
Other Medications: None were taken.
Current Illness: Hypothyroidism & Hypertension
Preexisting Conditions: N/A
Allergies: Allergies to: Penicillin, Ampicillin, Betadine, and Sulfur.
Diagnostic Lab Data: None at this time
CDC 'Split Type':

Write-up: Chest pains, sore left arm where shot was given, painful swollen lymph nodes under left arm pit, bad head pain, eye pain from the head pain, elevated blood pressure (even after medication), body pain everywhere, diarrhea, nausea, lost of appetite, neck pain from the head pain, constipation, left/right side stomach pain, left/right muscle spasms in both calves, dry mouth, thirsty, dry nostrils, and ear drainage from right ear.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1390349&WAYBACKHISTORY=ON


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