VAERS ID: 1881369

AGE: 59| SEX: F|STATE: MN (United States)

Description

pounding headache ears ringing threw up friday pm 3x, fever, tired. achy, dizzy, no appetite. until monday. 11/15/2021.

Open in Wayback Machine
(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

Dizziness, Pyrexia, Headache, Vomiting, Pain, Tinnitus, Fatigue, Decreased appetite

Vaccines

VAX DATE: 11-11-2021| ONSET DATE: 11-12-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 3 COVID19 MODERNA IM LA

RECVDATE:11-18-2021
RPT_DATE:
CAGE_YR:59
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:WRK
OTHER_MEDS:
CUR_ILL:
HISTORY:high blood pressure SAD
PRIOR_VAX:covid vaccine 2
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-18-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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