Adverse Event Reporting

VAERS ID 905455
Gender Male
Age 37
StateCode CA
Pharmaceutical Company MODERNA
Lot Number E51685
Number of vaccinations 1
Vaccinated 2020-12-21
Onset 2020-12-21
Condition
Symptoms
  • Pain in extremity

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Soreness in arm