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Report #2884278

Received Feb 4, 2026

Life-threateningER / 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
49 yrs
State
NJ
Recovered
Not recovered
Vaccinated
Jan 5, 2021
Onset
Mar 29, 2021
Days to onset
83
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA1011L20ASYR / AR
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA2031L20ASYR / AR

Symptoms (12)

Condition aggravatedFatigueInflammationLaboratory test abnormalPainPolychondritisPruritusRaynaud's phenomenonRheumatoid arthritisSjogren's syndromeSkin lesionVasculitis

Symptom narrative

Lesions from head to toe. Severe Pain, Severe Itching, Systemic Inflammation. Fatigue etc..

Current illness

None

Medical history

Depression Anxiety

Other medications

Venlaflaxine

Allergies

Codiene

Lab data

Emergency Room Visit March 29,2021, Referred to General Practitioner (Seen on March 29, 2021 and Follow up with Rheumatologist (Seen on April 2021) Testing Results Confirmed: Relapsing Poly chondrites, Rheumatoid arthritis, Severe Vasculitis, Sjogrens Disease, Raynauds Syndrome with mixed undifferentiated undiagnosed symptoms. Resulting in Permanent Disability