Report #2828434

Received Feb 26, 2025

ER / ED visitOffice 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: Female
Age: 21 yrs
State: NY
Recovered: Unknown
Vaccinated: Dec 8, 2021
Onset: Jan 3, 2023
Days to onset: 391
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	012H21B	IM
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	029L20A	IM
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	025J20A	IM
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	—	IM

Symptoms (8)

Abdominal painComputerised tomogramConstipationHenoch-Schonlein purpuraLaboratory testNauseaRashRash pruritic

Symptom narrative

For about two months I suffered with severe nausea, abdominal pain, rashes (painful and itching), constipation. Diagnosed w/ IgA vasculitis.

Current illness

None

Medical history

Epilespy

Other medications

Keppra 750mg BID

Allergies

NKDA

Lab data

01/03/23 - ED visit multiple labs and CT performed; 01/06/23 ED visit - multiple labs performed; 01/09/23 PCP visit - multiple labs performed; see next page