National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 896636

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

VAERS ID: 896636
VAERS Form:2
Age:47.0
Sex:Female
Location:South Carolina
Vaccinated:2020-09-28
Onset:2020-10-02
Submitted:0000-00-00
Entered:2020-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / SYR

Administered by: Other      Purchased by: ??
Symptoms: Arthralgia, Confusional state, Fatigue, Feeling abnormal, Head discomfort, Memory impairment, Pain in extremity, Physiotherapy, Pyrexia, 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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: 10mg Prozac daily
Current Illness: none
Preexisting Conditions: none
Allergies: tetracycline
Diagnostic Lab Data: OCT 6 RESEARCH CENTER FOR ADVERSE SICK VISTIT/// OCT 8TH MEDICAL CENTER ///OCT 8TH EMERGENCY ROOM/// OCT 13TH PRIMARY CARE///0CT.19TH MED CENTER///OCT.26 PRIMARY CARE ///OCT 30 TH PRIMARY CARE ///NOV 2ND CHIROPRACTIC/// NOV 6TH PHYSICAL THEREAPY/// NOV 9TH CHIROPRACTIC /// NOV 11 NEUROLGY/// NOV 23 DR. ORTHOPEDICS
CDC 'Split Type':

Write-up: ARM SWELLING WITH PAIN, FEVER, FATIGUE, THEN CONFUSION, FORGETFULNESS, BRAIN FOG, EXTREME HEAD PRESSURE WITH FEVER THAT LASTED 2 WEEKS AFTER VACCINE. ARM AND SHOULDER PAIN CONTINUED TO INCREASE AND STILL PRESENT.

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=896636&WAYBACKHISTORY=ON


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