VAERS ID: 1884641

AGE: 58| SEX: F|STATE: TN (United States)

Description

This was the booster 0.25ml of Moderna vaccine given 10 months after second dose. I experienced worse side effects than with 2nd dose. They were similar to 2nd dose SED chills, fever 101, severe headache, muscle weakness. Started 12 hrs after administration of booster. These lasted about 24 hours. But reason reporting is I experienced COVID arm, which came up about 72 hrs after administration. Large ,big red round circle on vaccinated arm, very warm to touch. Has lasted about 4-5 days. I experience this with the first dose and reported it. I expected the SED that were similar to 2nd dose but much worse and half of dose of vaccine given. This is just for your information. I am fine.

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Symptoms

Chills, Pyrexia, Headache, Erythema, Muscular weakness, Skin warm, Vaccination site reaction

Vaccines

VAX DATE: 11-12-2021| ONSET DATE: 11-15-2021| DAYS TO ONSET: 3
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 3 COVID19 MODERNA 03721A IM LA

RECVDATE:11-19-2021
RPT_DATE:
CAGE_YR:58
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:WRK
OTHER_MEDS:Levothyroxine, multivitamins, celebrex, furosemide, Vit D, fish oil, B12, Vit C, Lysine, Tumeric.
CUR_ILL:
HISTORY:Hypothyroid and osetoarthrtis
PRIOR_VAX:Shingerix, Flu shots
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-19-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:Codeine, Hydrocodone.
V_FUNDBY:

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