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Report #2832853

Received Mar 24, 2025

ER / ED visitOffice visit
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Overview

Sex
Male
Age
39 yrs
State
NJ
Recovered
Not recovered
Vaccinated
Jun 3, 2021
Onset
Jun 4, 2021
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA2037C21ASYR / LA

Symptoms (6)

AstheniaCold sweatCold-stimulus headacheElectric shock sensationInfluenza like illnessSmall fibre neuropathy

Symptom narrative

Ice Cream headache and shocking sensation to my nervous system. Cold sweats and weakness.

Current illness

None

Medical history

None

Other medications

Vitamin B, C, D and K

Allergies

Dextrose and Sucralose

Lab data

I now have peripheral small fiber neuropathy as a result of the vaccine. The onset comes with flu like illnesses. I?ve been seeing Neurologists since August 2022 to present date.

Prior vaccinations

anthrax 3 of 6 doses