National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/19/2021 release of VAERS data:

This is VAERS ID 1721753

Government Disclaimer on use of this data



Case Details

VAERS ID: 1721753 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-09-11
Onset:2021-09-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / OT

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Chest discomfort, Headache, Hyperhidrosis, Myalgia, Pyrexia, Tremor
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Sulfonamide allergy (sulfa based drug)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210912; Test Name: Body temperature; Result Unstructured Data: 101.3F
CDC Split Type: USMODERNATX, INC.MOD20213

Write-up: Drenched in sweat; Feels like there was an elephant sitting on her chest; Tremors; Head hurt; Every part of the body hurts; Fever at 101.6F at 3am - current temperature now is at 101.3F; This spontaneous case was reported by a consumer and describes the occurrence of HYPERHIDROSIS (Drenched in sweat), CHEST DISCOMFORT (Feels like there was an elephant sitting on her chest), TREMOR (Tremors), HEADACHE (Head hurt) and MYALGIA (Every part of the body hurts) in a 50-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. Concurrent medical conditions included Sulfonamide allergy (sulfa based drug). On 11-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 12-Sep-2021, the patient experienced HYPERHIDROSIS (Drenched in sweat), CHEST DISCOMFORT (Feels like there was an elephant sitting on her chest), TREMOR (Tremors), HEADACHE (Head hurt), MYALGIA (Every part of the body hurts) and PYREXIA (Fever at 101.6F at 3am - current temperature now is at 101.3F). The patient was treated with PARACETAMOL (TYLENOL) ongoing since an unknown date for Adverse event, at a dose of 2 tabs and IBUPROFEN SODIUM (IBUPROFEN [IBUPROFEN SODIUM]) ongoing since an unknown date for Adverse event, at a dose of 2 tabs. At the time of the report, HYPERHIDROSIS (Drenched in sweat), CHEST DISCOMFORT (Feels like there was an elephant sitting on her chest), TREMOR (Tremors), HEADACHE (Head hurt), MYALGIA (Every part of the body hurts) and PYREXIA (Fever at 101.6F at 3am - current temperature now is at 101.3F) outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 12-Sep-2021, Body temperature: 101.3f (High) 101.3F. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Concomitant medications were not reported.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1721753


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