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Report #2839041

Received Apr 30, 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
40 yrs
State
NJ
Recovered
Not recovered
Vaccinated
Jan 11, 2021
Onset
Apr 10, 2024
Days to onset
1185
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1072L20AIM / LA

Symptoms (15)

ArthralgiaBrain fogChronic obstructive pulmonary diseaseComputerised tomogram abnormalComputerised tomogram headDyspnoeaFatigueGeneralised oedemaParanasal sinus polypectomySinuplastySinus polypSinusitisSkin disorderType 1 diabetes mellitusWheezing

Symptom narrative

Skin issue, difficulty breathing, joint pain, generalized edema, fatigue brain fog, sinusitis, wheezing, COPD, Insulin dependent diabetes

Current illness

None

Medical history

None

Other medications

None

Allergies

Sulfa

Lab data

CT of sinuses revealed polyps and fluid on July 21 2021 Dr. did sinuplasty and polypectomy on 8/11/2021. Shortness of breath continued and saw pulmonary dx with COPD. Dx with insulin dependent diabetes 01/2024.