VAERS ID: 954948

AGE: 70| SEX: F|STATE: GA (United States)

Description

14JAN 3 PM: Received Moderna COVID-19 vaccination. 15JAN 10 PM: Sudden onset severe lower abdominal pain, diarrhea, and chills. Moderate nausea and vomiting. Diarrhea and vomiting ended 16JAN at 1 AM. 16JAN 11 AM: Urgent care visit. Referred to ED to rule out diverticulitis/bowel obstruction. Given IV saline and acetaminophen. Told it was "stomach bug." Diagnoses: vomiting and diarrhea, diverticula of colon. Sent home. 17JAN all morning: Severe lower abdominal pain, diarrhea, and chills. No nausea and vomiting. Returned to ED. Given IV saline, benadry, fentanyl, inject dycyclomine. Diagnoses: general abd pain, body aches, chills. Sent home. 18JAN: abdominal ache with tenderness and diarrhea. 19JAN: recovering.

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Symptoms

Chills, Vomiting, Nausea, Abdominal pain, Diarrhoea, Full blood count, Laboratory test, Metabolic function test, Lipase, Diverticulum intestinal, SARS-CoV-2 test

Vaccines

VAX DATE: 01-14-2021| ONSET DATE: 01-15-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 1 COVID19 MODERNA 026L20A IM LA

RECVDATE:01-19-2021
RPT_DATE:
CAGE_YR:70
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:16JAN: COVID-19, CBC, CMP, lipase, hepatic function profile, UA, CT abdomen. 17JAN: CBC, BMP, acetaminophen, lipase.
V_ADMINBY:PVT
OTHER_MEDS:montelukast, flecainide, cetirizine, amlodipine, Flovent HFA,
CUR_ILL:none
HISTORY:asthma, allergies, hypertension, atrial fibrillation
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:01-19-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:all NSAIDS, -cillin drugs, -sporin drugs,
V_FUNDBY:

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