Report #2834406

Received Apr 6, 2025

ER / ED visitOffice 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: 44 yrs
State: FL
Recovered: Not recovered
Vaccinated: Apr 14, 2021
Onset: Apr 1, 2025
Days to onset: 1448
Hospital days: —

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	1	03TB21A	IM / RA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	2	046B21A	IM / LA
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	027C21A	IM / RA

Symptoms (7)

AstheniaGait disturbanceGranuloma annulareMigraineNeuropathy peripheralOesophageal achalasiaPneumonia

Symptom narrative

Achalasia, Granuloma Annulare, Chronic Pneumonia, Migraine Headaches, Weakness, Inability to walk distances, neuropathy

Current illness

None

Allergies

Sulfa, ragweed