Report #2903270

Received Jul 12, 2026

ER / ED visitOffice visit

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: CA
Recovered: Not recovered
Vaccinated: Sep 10, 2021
Onset: Sep 20, 2021
Days to onset: 10
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (MODERNA))	MODERNA	3	939906	SYR / RA

Symptoms (14)

Burning sensationConfusional stateDizzinessDysuriaMobility decreasedMuscle spasmsNeurological symptomPollakiuriaTinnitusTooth discolourationTooth lossTremorUrinary incontinenceVisual impairment

Symptom narrative

WIthin 10 days of vaccination I started experiencing extreme neurological issues, burning and cramping and frozen feet and hands, inability to use arm, symptoms of TIA / GBS (dizziness, confusion, urinary extreme pain, excessive urination that was uncontrollable, tremors, pulsatile tinnitus, inability to use hands, this became reocurring on and off and has stayed this way since. Various ER and Ambulince calls resulted in me having to leave facilities due to either being told it was "anxiety" or other non appropriate conditions. I eventually had to stop calling ambulance and refuse to go to ER or hospital at all due to fears of the standard misdiagnosis and inappropriate treatment by facility and staff members. Experienced repetitive symptoms of "mini seizures" or "invisible strokes" and over time my teeth disentegrated , broke, crumbled, turned black, I got kaleidoscopic vision, and had so many types of treatments they are too long to list (ozone tv therapy, various alternative medications, antibiotics, doctor has records of everything attempted to resolve issues over time.