National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/10/2021 release of VAERS data:

This is VAERS ID 908010



Case Details

VAERS ID: 908010 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Facial discomfort, Feeling abnormal, Paraesthesia, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin 500mg daily, fish oil daily, amlodipine 10mg daily, HCTZ 25mg daily, omeprazole 20mg daily, Tri-Lo-Sprintec daily, Cephalexin since Sunday 12/20/20 (spider bite on arm), hydrocortisone cream (for spider bite on arm)
Current Illness: Spider bite (treated in ER 12/20/20) treated with antibiotic and hydrocortisone cream
Preexisting Conditions: None
Allergies: Lisinopril
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient called clinic stating she has noticed slight tingling and slight swelling in legs since receiving her COVID-19 vaccine. She also states something "feels different" on the L side of her face. She overall doesn''t feel "normal." She is going to follow-up today with her PCP.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=908010


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