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Report #2836027

Received Apr 14, 2025

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
53 yrs
State
OR
Recovered
Unknown
Vaccinated
Mar 3, 2025
Onset
Mar 3, 2025
Days to onset
0
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA3B0005IM / RA

Symptoms (2)

No adverse eventProduct storage error

Symptom narrative

No adverse event reported. Reporting per Moderna after a temperature excursion, vaccine remained viable after the excursion per Moderna.

Current illness

chronic pain, COPD, cigarette burn on foot

Medical history

chronic diastolic heart failure, chronic embolism and thrombosis of unspecified deep veins of unspecified proximal lower extremity, fetal and neonatal cutaneous hemorrhage, myalgia and myostitis, scoliosis and kyphoscoliosis, carpal tunnel syndrome, brachial neuritis or radiculitis, restless legs, degeneration of lumbar intervertebral disc, chronic pain, thoracic or lumbosacral neuritis or radiculitis, allergic rhinitis, GERD, asthma, COPD, constipation, urinary incontinence, bipolar disorder, alcohol use disorder, other stimulant abuse, PTSD, disorder of breast, bariatric surgery, insomnia

Other medications

acetaminophen, cyclobenzaprine, furosemide, lidocaine, naloxone, eliquis, trazodone, naltrexone, multivitamin, aspirin, loperamide, senna, cholecalciferol, fluticasone, hydroxyzine, loratadine, ondansetron, potassium chloride, calcium antac

Allergies

codeine, pollen

Lab data

N/A