VAERS ID: 1884651

AGE: 67| SEX: F|STATE: MI (United States)

Description

General fatigue; This spontaneous case was reported by a consumer and describes the occurrence of FATIGUE (General fatigue) in a 67-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 023M20A) for COVID-19 vaccination. The patient's past medical history included Goiter and Radioactive iodine therapy (For goiter). Concurrent medical conditions included Latex allergy, Drug allergy (Zantac) and Penicillin allergy. Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID), ATENOLOL and LISINOPRIL for an unknown indication. On 18-Feb-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. In February 2021, the patient experienced FATIGUE (General fatigue). At the time of the report, FATIGUE (General fatigue) outcome was unknown. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. No treatment information was provided by the reporter. After receiving two injections , the patient cannot keep thyroid level normal. Patient had an x-ray of right hand and an ENG (Electronystagmography)was done - ENG showed carpal tunnel the tests were ordered by her primary care physician. she was referred to a neurologist. This case was linked to MOD-2021-386040 (Patient Link).

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Symptoms

Fatigue

Vaccines

VAX DATE: 02-18-2021| ONSET DATE: 02-01-2021| DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 023M20A OT LA

RECVDATE:11-19-2021
RPT_DATE:
CAGE_YR:67
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:SYNTHROID; ATENOLOL; LISINOPRIL.
CUR_ILL:Drug allergy (Zantac); Latex allergy; Penicillin allergy.
HISTORY:Medical History/Concurrent Conditions: Goiter; Radioactive iodine therapy (For goiter.)
PRIOR_VAX:
SPLTTYPE:USMODERNATX, INC.MOD20213
FORM_VERS:
TODAYS_DATE:11-19-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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