Adverse Event Reporting

VAERS ID 1884288
Gender Male
Age 77
StateCode WA
Pharmaceutical Company MODERNA
Lot Number 939904
Number of vaccinations 3
Vaccinated 2021-10-27
Onset 2021-11-01
Condition Recovered
Symptoms
  • Dizziness
  • Fall
  • Gait disturbance

Current Illness

none

Preexisting Conditions

high cholesterol, arthritis, BPH

Other Medications

lipitor testosterone

Previous Vaccinations

Allergies

doxycycline

Laboratory Data

none, pulse and BP were normal

Write-up

Dizziness, unstable gait, almost falling down, especially in the morning on awakening.
Fully resolved by 11/06/21 before I could get into see a doctor