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Report #2853775

Received Aug 12, 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
69 yrs
State
FL
Recovered
Not recovered
Vaccinated
Jul 1, 2021
Onset
Dec 25, 2021
Days to onset
177
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNA1040CF21AIM / AR
COVID19COVID19 (COVID19 (MODERNA))MODERNA1004F21AIM / AR
COVID19COVID19 (COVID19 (MODERNA))MODERNA1B4S1521IM / RL

Symptoms (27)

Acoustic stimulation testsAlopeciaAnxietyBlood testBrain fogChest X-rayChillsCholecystectomyColonoscopyComputerised tomogram abdomenComputerised tomogram headDecreased appetiteDepressionElectrocardiogramEndoscopy upper gastrointestinal tractFatigueHeadacheHepatobiliary scanHyperacusisInflammationInsomniaLaboratory testNauseaPalpitationsParosmiaPyrexiaRash

Symptom narrative

Severe nausea, headaches, chills, fever, sounds and smells were intolerable and a rash. Nausea, insomnia, anxiety, depression, fatigue, hair loss, brain fog, no appetite,inflammation palpatations, rash, no activity and headaches still active after 5 years of seeing several Emergency room visits,Gastrointerologist, Neurologist, ENT, Obgyn, Endo, Ent &Aprn Treated with Zofran, Meclizine,bactrim,buspar,famodine

Current illness

metformine type 2 diebeties medicine induced

Medical history

Hashmottos - thyroid auto immune

Other medications

leothyroxine metformine tylenol

Allergies

gluten and dairy

Lab data

EKG,,chest x-ray,colonoscopy,upperEndoscopy,hearing,CT scans head & abdomen,hida scan, paraparesis test, gall bladder removed,blood work ECG