Report #2830684

Received Mar 11, 2025

HospitalizedOffice visitDisabled

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: 70 yrs
State: FL
Recovered: Unknown
Vaccinated: Feb 23, 2021
Onset: Jan 19, 2022
Days to onset: 330
Hospital days: 1

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	013M20A	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	006B21A	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	035C21A	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	4	021H22A	IM / LA

Symptoms (12)

Cardiac pacemaker insertionChest X-rayChillsDyspnoea exertionalEchocardiogramElectrocardiogramErythemaHeadachePain in extremityPeripheral swellingSkin warmUltrasound scan

Symptom narrative

Each time I received a vaccine my left arm would become swollen, sore, warm and red to the touch. I would also get a headache and chills. i noticed that I became short of breath whenever I did chores around the home or when I went for a walk to the point that I had to stop and rest. I went in to see my Primary Doctor who referred my to see cardiologist Dr. I saw Dr on 01/18/2022 and she immediately scheduled me for surgery the next day 01/19/2022 to implant a pacemaker at Medical Center.

Current illness

none

Medical history

none

Other medications

Amlodipine 2.5mg, Losartan 100mg, Crestor 2.5mg, fish oil 2000mg, Magnesium 400mg, Potassium 99mcg.

Allergies

Tetanus Toxoid, Vancomycin

Lab data

EKG, chest x-ray, Ultrasound Echocardiogram.