Adverse Event Reporting

VAERS ID 1976775
Gender Female
Age 56
StateCode IL
Pharmaceutical Company MODERNA
Lot Number 939904
Number of vaccinations
Vaccinated 2021-11-23
Onset 2021-11-23
Condition
Symptoms
  • Expired product administered

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Vaccine administered was stored great than thirty days in refrigerated temperatures.
A case opened with the vaccine manufacturer demonstrated that the vaccines were still safe and effective but requested that we report to VAERS.