Report #2869214

Received Oct 28, 2025

DiedDisabled

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: 74 yrs
State: TX
Recovered: Not recovered
Vaccinated: Jan 4, 2021
Onset: Jan 14, 2021
Days to onset: 10
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA MNEXSPIKE))	MODERNA	1	025620A	IM / LA

Symptoms (5)

Amyotrophic lateral sclerosisBulbar palsyDysphagiaSpeech disorderThroat tightness

Symptom narrative

Patient had the first vaccination on 1/4/21. Approximately ten days later her throat constricted causing her difficulty. A episode pen was administered and may have helped. Patient took the second Moderna shot on 1/29/21 and a booster on 8/16/21. In November of 2021 she was still having some difficulty swallowing and speaking and she was diagnosed with bulbar palsy ALS. This was confirmed at (withheld) in May of 2022.

Current illness

None

Medical history

COPD, arthritis

Other medications

unknown

Allergies

shellfish

Lab data

Tests and results will need to be researched and provided at a later date.