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This is VAERS ID 1775971

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First Appeared on 10/15/2021

VAERS ID: 1775971
VAERS Form:2
Age:62.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-10-01
Onset:2021-10-01
Submitted:0000-00-00
Entered:2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 088D21A / 1 LA / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Cold sweat, Feeling abnormal, Nausea, Pain in extremity, Somnolence, Mobility decreased, Feeding disorder, Feeling of body temperature change

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.MOD20213

Write-up: a little clammy; I slept all day probably for about 18 hours; l was hot and cold; I couldn''t eat; couldn''t get up; felt like I am going to fall down; A little nauseated; pain in my arm; This spontaneous case was reported by a consumer and describes the occurrence of PAIN IN EXTREMITY (pain in my arm), COLD SWEAT (a little clammy), SOMNOLENCE (I slept all day probably for about 18 hours), FEELING OF BODY TEMPERATURE CHANGE (l was hot and cold) and FEEDING DISORDER (I couldn''t eat) in a 62-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 088D21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below. No Medical History information was reported. On 01-Oct-2021, the patient received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On an unknown date, received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 01-Oct-2021, the patient experienced PAIN IN EXTREMITY (pain in my arm). On 02-Oct-2021, the patient experienced SOMNOLENCE (I slept all day probably for about 18 hours), FEELING OF BODY TEMPERATURE CHANGE (l was hot and cold), FEEDING DISORDER (I couldn''t eat), MOBILITY DECREASED (couldn''t get up ), FEELING ABNORMAL (felt like I am going to fall down) and NAUSEA (A little nauseated). On 03-Oct-2021, the patient experienced COLD SWEAT (a little clammy). The patient was treated with IBUPROFEN for Adverse event, at a dose of 2 Tab every six hours. At the time of the report, PAIN IN EXTREMITY (pain in my arm) and COLD SWEAT (a little clammy) had not resolved and SOMNOLENCE (I slept all day probably for about 18 hours), FEELING OF BODY TEMPERATURE CHANGE (l was hot and cold), FEEDING DISORDER (I couldn''t eat), MOBILITY DECREASED (couldn''t get up ), FEELING ABNORMAL (felt like I am going to fall down) and NAUSEA (A little nauseated) was resolving. Concomitant medication information was not provided by the reporter.

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