Adverse Event Reporting

VAERS ID 2557288
Gender Male
Age 48
StateCode FR
Pharmaceutical Company MODERNA
Lot Number 3004493
Number of vaccinations 3
Vaccinated 2021-10-11
Onset 2021-11-01
Condition
Symptoms
  • Myalgia
  • Influenza like illness
  • Feeling cold
  • Blood creatine phosphokinase
  • Antibody test
  • Blood creatine phosphokinase increased
  • Antinuclear antibody increased
  • Myoglobin blood increased
  • Myoglobin blood
  • Epstein-Barr virus infection reactivation
  • Smooth muscle antibody

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up