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This is VAERS ID 1691630

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First Appeared on 9/17/2021

VAERS ID: 1691630
VAERS Form:2
Age:29.0
Sex:Female
Location:New Jersey
Vaccinated:2021-08-23
Onset:2021-08-23
Submitted:0000-00-00
Entered:2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 939893 / 1 - / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Chills, Fatigue, Feeling abnormal, Gait disturbance, Headache, Hypoaesthesia, Nasal congestion, Paraesthesia, Limb discomfort, Vaccination site anaesthesia

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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USMODERNATX, INC.MOD20212

Write-up: pins and needles sensation on both her feet, toes and legs/She went to her chiropractor she improved a bit but the pins and needles; legs felt like jello; had a hard time going up the stairs; weird sensation on her legs; numbness on her lower back; numbness when she lies on the side where she got the injection; feeling tired; congested; chills; headache; This spontaneous case was reported by a consumer and describes the occurrence of NASAL CONGESTION (congested), PARAESTHESIA (pins and needles sensation on both her feet, toes and legs/She went to her chiropractor she improved a bit but the pins and needles), LIMB DISCOMFORT (legs felt like jello), GAIT DISTURBANCE (had a hard time going up the stairs) and FEELING ABNORMAL (weird sensation on her legs) in a 29-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 939893) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 23-Aug-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 23-Aug-2021, the patient experienced CHILLS (chills) and HEADACHE (headache). On 24-Aug-2021, the patient experienced NASAL CONGESTION (congested) and FATIGUE (feeling tired). On 25-Aug-2021, the patient experienced PARAESTHESIA (pins and needles sensation on both her feet, toes and legs/She went to her chiropractor she improved a bit but the pins and needles), LIMB DISCOMFORT (legs felt like jello), GAIT DISTURBANCE (had a hard time going up the stairs), FEELING ABNORMAL (weird sensation on her legs), HYPOAESTHESIA (numbness on her lower back) and VACCINATION SITE ANAESTHESIA (numbness when she lies on the side where she got the injection). At the time of the report, NASAL CONGESTION (congested), PARAESTHESIA (pins and needles sensation on both her feet, toes and legs/She went to her chiropractor she improved a bit but the pins and needles), LIMB DISCOMFORT (legs felt like jello), GAIT DISTURBANCE (had a hard time going up the stairs), FEELING ABNORMAL (weird sensation on her legs), HYPOAESTHESIA (numbness on her lower back), VACCINATION SITE ANAESTHESIA (numbness when she lies on the side where she got the injection), FATIGUE (feeling tired), CHILLS (chills) and HEADACHE (headache) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. Relevant concomitant medications were not provided. Treatment information was not provided. This case was linked to MOD-2021-299954 (Parent-Child Link). See case MOD-2021-299954 for details regarding the child case.

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