Détails du rapport Vaer
Âge: 69 ans
Genre: Female
Région : Wisconsin
- Patient décédé?
- Non
- Renseignements sur les vaccins
-
Nom: COVID19 (COVID19 (MODERNA))
Type : Coronavirus 2019 vaccine
Fabricant: MODERNA
Lot: 058f21a
- Date de réception du rapport
- 2022-02-08
- Date à laquelle le formulaire est complèté
- Date de vaccination
- 2021-11-05
- Date d’apparition
- 0
- Nombre de jours (date d’apparition – date de vaccination)
- 0
- Description de l’événement indésirable
-
starting the day of the vaccine (at night) i started developing malaise, fatigue, headache, and fever. this went on for about 3-4 days. ever since then, i have been fatigued and feeling "not myself". i have been having intermittent headaches and dizziness that have not resolved. i went to the er on 01/14/2022 for a headache and chest pressure. my blood pressure kept going up but after numerous tests/blood work everything came back normal. however, i am still plagued by the intermittent headaches. i saw my pcp afterwards and they said i should start elavil for the headaches but i haven't had a chance to pick it up yet
- Données de laboratoire
-
lots of blood work, ekg and other tests: all within normal limits
- Liste des symptômes
-
malaise fatigue feeling abnormal chest discomfort headache dizziness condition aggravated blood pressure increased pyrexia laboratory test normal electrocardiogram normal blood test normal
- Patient décédé?
- Non
- Date de décès
- N/A
- Anomalie congénitale
- false
- Vaccin administré par :
- Public
- Vaccin acheté par :
- Inconnu
- Visite d’un patient à l’urgence?
- Non
- Patient hospitalisé?
- Non
- Séjour à l’hôpital
- Non
- Nombre de jours à l’hôpital
- Non spécifié
- Invalidité permanente?
- Non
- Allergies:
-
sulfa drugs, nickel, paxil, and macrodantin
- Maladie actuelle
-
na