VAERS ID: 1807585

AGE: 72| SEX: F|STATE: PA (United States)

Description

1/ 2 booster dose.Strong Headache, throbbing eardrums, chills, vomiting (just once),sore arm, weakness and body aches , no sleep, still feel lousy

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(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Chills, Headache, Vomiting, Insomnia, Pain, Asthenia, Condition aggravated, Extra dose administered, Pain in extremity, Feeling abnormal, Ear discomfort

Vaccines

VAX DATE: 10-21-2021| ONSET DATE: 10-21-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 3 COVID19 MODERNA 037C21A LA

RECVDATE:10-22-2021
RPT_DATE:
CAGE_YR:72
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:Covid Arm, fatigue, headache after first two Moderna vaccines
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-22-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Keflex Boniva
V_FUNDBY:

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