Report #2826880

Received Feb 18, 2025

Office visit

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 8 yrs
State: IL
Recovered: Recovered
Vaccinated: Jan 26, 2025
Onset: Feb 6, 2025
Days to onset: 11
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	5	3043000	IM / LA

Symptoms (13)

Antinuclear antibody negativeArthralgiaC-reactive protein normalComplement analysisComplement factor C3Complement factor C4Full blood count normalJoint swellingMetabolic function test normalPeripheral swellingRed blood cell sedimentation rate normalRheumatoid factor negativeUrticaria

Symptom narrative

Two days after administration large local swelling in arm. Approximately 11 days after administration developed hives and joint pain and swelling in ankles, wrists and knees. These symptoms lasted approximately one week.

Current illness

none

Medical history

none

Other medications

None

Allergies

None

Lab data

Blood tests done on 2/12/25: CBC, CMP, Sed rate, C-reactive protein, ANA, Rheum Factor, C3/C4, CH50 (complement levels) - all results were normal.