Adverse Event Reporting

VAERS ID 2557938
Gender Male
Age 39
StateCode FR
Pharmaceutical Company MODERNA
Lot Number 3005835
Number of vaccinations 1
Vaccinated 2022-01-13
Onset 2022-02-08
Condition Permanent Disability
Symptoms
  • Chills
  • Rash
  • Urticaria chronic

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up