Page breadcrumb nav

VAERS Report 2095868

Case Report Section

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