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Report #2898463

Received Jun 1, 2026

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
Male
Age
49 yrs
State
VA
Recovered
Not recovered
Vaccinated
Mar 26, 2021
Onset
Jun 1, 2021
Days to onset
67
Hospital days

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA1018B21AIM / AR
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA2040B21AIM / AR
COVID19COVID19 (COVID19 (MODERNA MNEXSPIKE))MODERNA3054A22AIM / AR

Symptoms (36)

Abdominal discomfortAbdominal distensionAllergy test negativeAnti-cyclic citrullinated peptide antibody negativeAntinuclear antibody negativeAntinuclear antibody positiveAstheniaBlood test normalBowel movement irregularityComplement factor C3Complement factor C4Complement factor normalComputerised tomogram abdomen normalConstipationElectromyogram normalFacet joint syndromeFatigueFeeling of body temperature changeForeign body sensation in eyesGastrointestinal painHaemangioma of boneHypoaesthesiaMagnetic resonance imaging head normalMagnetic resonance imaging normalMalaiseMiddle insomniaMyalgiaNerve conduction studies normalNocturiaPainParaesthesiaPoor quality sleepRheumatoid factor negativeSARS-CoV-2 antibody test positiveSkin burning sensationSpinal osteoarthritis

Symptom narrative

Gastrointestinal: Episodic discomfort/bloating/pain/unease without clear cause; chronic constipation (irregular bowel movements, difficulty passing stool); burning sensations in varying abdominal locations. Ocular: Persistent gritty/sandy feeling on both eyelids (dryness/irritation). Neurological/Sensory: Episodic neuropathy-like tingling, numbness, or pain (left rib area, shoulders, patchy); abnormal hot/cold sensations on skin (lower abdomen, lower back, shoulders, arms); burning sensations on skin (abdomen extending to other areas). Musculoskeletal: Disproportionate soreness/weakness after light lifting or minimal activity; recent soreness in paraspinal muscles along the spine; burning sensation in specific muscles from neck to shoulder (?coat-hanger? distribution). Fatigue/Malaise: General malaise; profound fatigue that worsens during flares; characteristic delayed/post-exertional malaise ? unable to perceive fatigue while active/moving, but intense crash upon resting or stopping. Sleep: Difficulty staying asleep (frequent awakenings); insomnia despite exhaustion; unrefreshing sleep due to nocturia (multiple nighttime bathroom trips). Symptoms are non-length-dependent and migratory, worsening overtime. Blood test, MRIs, CT scan all normal. Doctors (neurologist, ophthalmologist, rheumatologist, gastro) that I have seen don't know how to treat this.

Current illness

none.

Medical history

none.

Other medications

B-complex, D3/k2, Vit - C, Vit E.

Allergies

none.

Lab data

Onset ~2021 with no known prior similar illness, allergies, or strong family history. Rheumatology evaluation: autoimmune conditions ?ruled out? on initial panels. Ophthalmology: gritty eyes treated symptomatically with warm compresses, eye drops, lid cleanser; no severe findings. Gastroenterology: normal findings; abdominal CT normal. No other major comorbidities reported. Nucleocapsid Ab negative (2026). Thoracic Spine MRI (without contrast, collected Feb 13, 2026): Mild multilevel degenerative changes primarily due to facet arthrosis causing multilevel mild neuroforaminal narrowing. No significant spinal canal narrowing. Benign hemangioma in central T10 vertebral body. Discs largely preserved with minimal desiccation at T12-L1. Brain MRI: Normal(2026). EMG/Nerve Conduction Studies (both legs): Normal ? rules out large-fiber neuropathy/radiculopathy. ANA: Positive, titer 1:80, speckled pattern 2026 (previously negative in prior year). ENA Panel: All negative (Ro52 <2.3 CU, Ro60 <4.9 CU, SS-B <3.3 CU, Sm <3.3 CU, RNP <3.5 CU, Scl-70 <1.2 CU, Jo-1 <2.2 CU, Centromere <3.4 CU). Complements: C3 96.2 mg/dL (normal 82?185), C4 25.6 mg/dL (normal 15?53). Anti-CCP: Normal/negative. SARS-CoV-2 Spike Antibody (Total, semi-quantitative): >2500.0 U/mL (HIGH) ? collected ~May 2026 (Quest). Reference <0.8 U/mL. Routine bloodwork, rheumatology, and allergy panels: Normal.