Adverse Event Reporting

VAERS ID 2243594
Gender Male
Age 57
StateCode WA
Pharmaceutical Company MODERNA
Lot Number 939904
Number of vaccinations 3
Vaccinated 2021-12-13
Onset 2022-04-11
  • Eye pruritus
  • Oropharyngeal pain
  • Cough
  • Respiratory tract congestion
  • Nasal congestion
  • SARS-CoV-2 test positive
  • COVID-19

Current Illness


Preexisting Conditions


Other Medications

Eliquis 2.5mg twice daily

Previous Vaccinations

Dose 1 Moderna. 24 hour leg muscle fatigue.



Laboratory Data

PCR 04/12/2022: Positive.


I was coming home from out of state.
I started to have a sore throat feeling and my eyes really started to itch.
The next morning I woke and still had the sore throat, itchy eyes and congestion.
I decided to do a rapid test and it came back positive.
The same day I went to get a PCR test and the results came back the next day and they were positive.
I'm down to a dry cough and congestion nose.