Adverse Event Reporting

VAERS ID 1042385
Gender Female
Age 83
StateCode IN
Pharmaceutical Company MODERNA
Lot Number
Number of vaccinations
Vaccinated 2021-02-09
Onset 2021-02-10
Condition Recovered
  • Nausea
  • Malaise
  • Feeling cold

Current Illness


Preexisting Conditions


Other Medications

PRESCRIPTION : bisoprolol/hct 5-6.25 mg 1 tablet daily (generic for ziac) OVER THE COUNTER calcium citrate = D3 1 tablet daily, 1 complete vitamin daily, l biotin 5,000 mcg tablet daily

Previous Vaccinations


Most all of these cause only severe nausea and vomiting : chephalexin, sulpha penicillin, mophine, augmemtatin, eurothromycin, doxazofin

Laboratory Data

Not applicable


Feeling very unwell, nauseated and cold (Not chills) No treatrment needed