Adverse Event Reporting

VAERS ID 1252649
Gender Male
Age 83
StateCode GA
Pharmaceutical Company MODERNA
Lot Number 002B21A
Number of vaccinations 1
Vaccinated 2021-03-23
Onset 2021-03-25
Condition
Symptoms
  • Diarrhoea
  • Flatulence

Current Illness

Preexisting Conditions

high blood pressure

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Within 3 days began diarrhea like discharge 3-4 times a day with loose stool, water & gas.
Continued for 3 weeks and became less frequent in fourth week