Adverse Event Reporting

VAERS ID 2547788
Gender Female
Age 59
StateCode GA
Pharmaceutical Company MODERNA
Lot Number AS7163B
Number of vaccinations 5
Vaccinated 2022-09-25
Onset 2022-12-16
  • Malaise
  • SARS-CoV-2 test positive
  • Streptococcus test negative
  • Influenza virus test negative
  • COVID-19
  • Mononucleosis heterophile test negative

Current Illness


Preexisting Conditions

Asthma, GSD type VI, post concussion syndrome, migraines, hypothyroidism, high cholesterol,

Other Medications

Lipitor, Verapamil, Synthroid, Zoloft, Gabapentin, Viramin D, multi vitamin, colace

Previous Vaccinations


ASA, Levaquin, IV contrast dye, Latex

Laboratory Data

COVID home test (Binax) and COVID test at urgent care.
Negative for flu, strep, and mono,


Became infected with COVID and quite ill