| VAERS_ID |
1364872 |
| RECVDATE |
2021-06-01 |
| STATE |
NC |
| AGE_YRS |
33 |
| CAGE_YR |
33 |
| CAGE_MO |
|
| SEX |
F |
| RPT_DATE |
|
| SYMPTOM_TEXT |
Knot in arm 2 inches below injection site: 5/28/2021-5/29/2021 pain at injection site: 5/28/2021-5/29/2021 diarrhea: 5/28/2021 throughout the day nausea: 5/28/2021-5/30/2021 intermittently throughout the day extreme fatigue: 5/28/2021-5/31/2021 all day everyday extreme dizziness: 5/28/2021-5/31/2021 intermittently throughout the day; not as much on 5/29/2021, but the worst on 5/30/2021 menthol metallic taste in mouth and throat: 5/28/2021-5/31/2021 intermittently throughout the day slight tingle and swelling of tongue: 5/28/2021 intermittently throughout the day red face: 5/28/2021-5/29/2021 throughout the days whenever walking hot and sweaty then followed by fully body chills: 5/28/2021 intermittently throughout the day chills: 5/28/2021-5/30/2021 intermittently throughout the day |
| DIED |
|
| DATEDIED |
|
| L_THREAT |
|
| ER_VISIT |
|
| HOSPITAL |
|
| HOSPDAYS |
|
| X_STAY |
|
| DISABLE |
|
| RECOVD |
U |
| VAX_DATE |
2021-05-27 |
| ONSET_DATE |
2021-05-28 |
| NUMDAYS |
1 |
| LAB_DATA |
Had blood work conducted on 5/30/2021 and white blood count came back within normal range, glucose came back within normal range, pregnancy test came back negative, heart rate slightly increased for patients normal range but overall within the normal range of 120/80 (patients normal range is 90/62). Overall patient in good health with excepts of reported adverse events potentially linked to vaccine. |
| V_ADMINBY |
PHM |
| V_FUNDBY |
|
| OTHER_MEDS |
Loryna (birth control) |
| CUR_ILL |
None |
| HISTORY |
Thoracic outlet syndrome |
| PRIOR_VAX |
|
| SPLTTYPE |
|
| FORM_VERS |
2 |
| TODAYS_DATE |
2021-06-01 |
| BIRTH_DEFECT |
|
| OFC_VISIT |
Y |
| ER_ED_VISIT |
Y |
| ALLERGIES |
gluten, nickle, band-aid adhesive, amoxicillin, and oxycodone |
| SYMPTOMS |
- Blood glucose normal
- Chills
- Diarrhoea
- Dizziness
- Dysgeusia
- Erythema
- Fatigue
- Feeling hot
- Heart rate increased
- Hyperhidrosis
- Injection site nodule
- Injection site pain
- Laboratory test normal
- Nausea
- Paraesthesia oral
- Pregnancy test negative
- Swollen tongue
- White blood cell count normal
|