VAERS ID: 2013711

AGE: 46| SEX: F|STATE: MA (United States)

Description

Long term pain in all joints especially hands, jaw and hips. Headaches, periods of extreme fatigue. The pain started just over a week after the first vaccine and has continued to date.

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Symptoms

Arthralgia, Headache, Fatigue, Pain in extremity, Blood test, X-ray, Pain in jaw, Rheumatological examination

Vaccines

VAX DATE: 04-23-2021| ONSET DATE: 05-05-2021| DAYS TO ONSET: 12
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 044B21A IM RA
COVID19 (COVID19 (MODERNA)) 2 COVID19 MODERNA 018F21A IM LA

RECVDATE:01-07-2022
RPT_DATE:
CAGE_YR:46
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Blood work, X-rays, rheumatology investigation, dental office, infectious disease
V_ADMINBY:PUB
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-07-2022
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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