Adverse Event Reporting

VAERS ID 1313200
Gender Female
Age 83
StateCode HI
Pharmaceutical Company MODERNA
Lot Number 031120A
Number of vaccinations 2
Vaccinated 2021-02-16
Onset 2021-04-20
Condition
Symptoms
  • Muscle spasms

Current Illness

Preexisting Conditions

Asthma, breast cancer, melanoma, pancreatic cancer atrial fib

Other Medications

Warfarin, Losartin, hydrodiuril, creon, vitamin D3, mucinex

Previous Vaccinations

Allergies

Penicillin family, zithromycin family,

Laboratory Data

PT.
.
.
April 20, 22, May 4,

Write-up

Severe unrelenting muscle cramps in right thigh