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Report #2872987

Received Nov 16, 2025

Life-threateningHospitalizedER / ED visitOffice visitDisabledBirth defect
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
48 yrs
State
KS
Recovered
Not recovered
Vaccinated
Feb 2, 2022
Onset
Feb 3, 2025
Days to onset
1097
Hospital days
50

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA1033H214SYR / RA
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA2083J21ASYR / RA
COVID19COVID19 (COVID19 (MODERNA))MODERNA1—SYR / RA

Symptoms (43)

Abdominal distensionAbdominal painAmnesiaAnaphylactic reactionAnxietyArthralgiaBiopsy bone marrowBlood testBone painBrain fogCondition aggravatedConfusional stateDiarrhoeaDiplopiaDyspnoeaFatigueFlatulenceFlushingGenetic testingHeadacheHot flushHypertensionHypoaesthesiaJoint swellingLip swellingMastocytosisMuscle twitchingMuscular weaknessNasal congestionNauseaNight sweatsPalpitationsPanic attackParaesthesiaPharyngeal swellingPruritusRhinorrhoeaStressTemperature intoleranceUrine analysisUrticariaVision blurredWheezing

Symptom narrative

Mastocytosis symptoms: severe headache diarrhea gas bloating abdominal pain/ cramps nausea Numbness in fingers and toes tingling in arms Flushing hives itching runny nose Brain fog confusion memory loss muscle twitching Chronic fatigue Joint pain and swelling bone pain muscle weakness night sweats hot flashes Blurred vision Dublin vision Swelling lips and throat shortness of breath nasal congestion Wheezing Heart palpitations anxiety panic attacks high blood pressure Anaphylaxis triggered by: Food Allergies, Exercise, Stress, Chemicals Cold Heat Past Appointments Displaying 100 past appointments Visit notes Date: 10/27/2025 11:21 am Visit Reason: Triage Call Provider: RN Location: Date: 10/23/2025 4:00 pm Visit Reason: Telehealth Provider: MD Location: Date: 10/22/2025 3:57 pm Visit Reason: Triage Call Provider: RN Location: Date: 10/20/2025 10:10 am Visit Reason: Warm Handoff Provider: RN Location: Date: 10/16/2025 11:20 am Visit Reason: Triage Call Provider: RN Location: Date: 10/14/2025 2:02 pm Visit Reason: Triage Call Provider: RN Location: Date: 10/09/2025 2:30 pm Visit Reason: Office Visit Established Provider: MD Location: Date: 10/09/2025 10:33 am Visit Reason: Triage Call Provider: RN Location: Date: 10/01/2025 3:30 pm Visit Reason: Office Visit Established Provider: MD Location: Date: 09/30/2025 1:21 pm Visit Reason: Triage Call Provider: RN Location: Date: 09/11/2025 4:29 pm Visit Reason: Warm Handoff Provider: RN Location: Date: 09/11/2025 3:30 pm Visit Reason: Office Visit Established Provider: MD Location: Date: 09/02/2025 2:30 pm Visit Reason: Office Visit Established Provider: MD Location: Date: 08/28/2025 1:56 pm Visit Reason: Triage Call Provider: RN Location: Date: 06/13/2025 4:00 pm Visit Reason: Office Visit Established Provider: MD Location: Date: 06/06/2025 12:51 pm Visit Reason: Triage Call Provider: RN Location: Date: 05/07/2025 3:30 pm Visit Reason: Triage Call Provider: RN Location: Date: 04/15/2025 12:15 pm Visit Reason: Warm Handoff Provider: RN Location: Date: 04/15/2025 11:00 am Visit Reason: Office Visit Established Provider: MD Location: Date: 02/24/2025 11:00 am Visit Reason: Office Visit Established Provider: MD Location: Date: 12/20/2024 11:30 am Visit Reason: Office Visit Established Provider: MD Location: Date: 08/28/2024 12:00 pm Visit Reason: Office Visit Established Provider: APRN-C Location: Date: 07/02/2024 3:00 pm Visit Reason: Telehealth Provider: LCSW Location: Date: 06/26/2024 4:30 pm Visit Reason: Office Visit Established Provider: MD Location: Date: 06/20/2024 2:45 pm Visit Reason: Follow Up Provider: MD Location: Date: 06/11/2024 2:45 pm Visit Reason: Behavioral Health Provider: LCSW Location: Date: 06/11/2024 2:00 pm Visit Reason: Follow Up Provider: MD Location: Date: 06/10/2024 12:56 pm Visit Reason: Triage Call Provider: RN Location: Date: 05/21/2024 3:45 pm Visit Reason: Follow Up Provider: MD Location: Date: 05/09/2024 1:00 pm Visit Reason: Long Visit Provider: MD Location: Date: 05/06/2024 5:15 pm Visit Reason: Wellness Visit Provider: MD Location: Date: 05/06/2024 11:22 am Visit Reason: Triage Call Provider: RN Location: Date: 05/03/2024 3:00 pm Visit Reason: Long Visit Provider: MD Location: Date: 04/29/2024 3:00 pm Visit Reason: Follow Up Provider: PA-C Location: Date: 02/28/2024 12:45 pm Visit Reason: Long Visit Provider: MD Location: Date: 02/27/2024 9:49 am Visit Reason: Triage Call Provider: RN Location: Date: 02/22/2024 2:00 pm Visit Reason: Follow Up Provider: MD Location: Date: 02/19/2024 3:30 pm Visit Reason: Long Visit Provider: MD Location: Date: 02/16/2024 3:04 pm Visit Reason: Triage Call Provider: RN Location: Date: 01/10/2024 2:45 pm Visit Reason: Behavioral Health Provider: LCSW Location: Date: 01/10/2024 2:00 pm Visit Reason: Follow Up Provider: MD Location: Date: 01/04/2024 2:00 pm Visit Reason: Lab Provider: LAB Location: Date: 01/02/2024 5:30 pm Visit Reason: Follow Up Provider: MD Location: Date: 11/28/2023 2:00 pm Visit Reason: Follow Up Provider: MD Location: Date: 07/06/2023 3:30 pm Visit Reason: Follow Up Provider: MD Location: Date: 03/30/2023 10:30 am Visit Reason: Lab Provider: LAB Location: Date: 03/17/2023 2:45 pm Visit Reason: Follow Up Provider: PA-C Location: Date: 02/22/2023 4:30 pm Visit Reason: Follow Up Provider: APRN-C Location: Date: 01/10/2023 5:00 pm Visit Reason: Follow Up Provider: APRN-C Location: Date: 12/29/2022 1:15 pm Visit Reason: Video Call 30 Provider: APRN-C Location: Date: 08/09/2022 4:45 pm Visit Reason: Wellness Visit Provider: MD Location: Date: 04/21/2022 2:00 pm Visit Reason: Follow Up Provider: DO Location: Date: 02/18/2022 8:30 am Visit Reason: Video Call 45 Provider: MD Location: Date: 02/14/2022 3:00 pm Visit Reason: Long Visit Provider: DO Location:

Current illness

none

Medical history

Mastocytosis (D47.09) [Chronic] [Stable] Idiopathic angio-edema-urticaria (L50.1) [Chronic] [Stable] Migraine syndrome (G43.909) [Chronic] [Stable] Dry eye syndrome of bilateral lacrimal glands (H04.123) [Chronic] [Stable] Gastroesophageal reflux disease, unspecified whether esophagitis present (K21.9) [Chronic] Prehypertension (R03.0) [Acute]

Other medications

none

Allergies

Any histamine triggering foods because of Mastocytosis, every thing that triggers leukotrienes

Lab data

Blood work Bone Marrow Biopsy, genetic testing and urine Analysis. Over 150 different tests. results led to Mastocytosis dates rand from 2022-2025 and visit dates are listed above.