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VAERS Report 2095595

Case Report Section

Vaer Report Details

Age: 47 years old

Gender: Female

State: Virginia

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (MODERNA))

Type: Coronavirus 2019 vaccine

Manufacturer: MODERNA

Lot: 028l20a


Date report was received
2022-02-08
Date form completed
Date Vaccinated
2021-02-06
Date of Onset
115
Number of days (onset date – vaccination date)
115
Adverse Event Description

06/2021- numbness and tingling down my legs and went it went away and it came back in july then i went to the doctor. 01/2022 i test positive for covid and bronchitis

Lab Data
07/2021- telehealth with doctor and was referred to neurologist and was given an mri and was diagnosed with multiple scheloris. since then i was given steroids'
List of symptoms
paraesthesia multiple sclerosis bronchitis hypoaesthesia covid-19 magnetic resonance imaging abnormal neurological examination abnormal
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Public
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
no known allergies
Current Illness
i was diagnosed with lupus but want really confirmed