Adverse Event Reporting
| VAERS ID | 905986 |
|---|---|
| Gender | Female |
| Age | 59 |
| StateCode | TX |
| Pharmaceutical Company | MODERNA |
| Lot Number | EK5730 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-15 |
| Onset | 2020-12-17 |
| Condition |
Symptoms
- Skin warm
- Pruritus
- Swelling
- Induration
- Mass
Current Illness
none
Preexisting Conditions
b/p, diabetic, on a daily baby asa, chol meds, multi vitamins
Other Medications
to many to list
Previous Vaccinations
Allergies
entex, pcn, adhesive tape sensitivity
Laboratory Data
Write-up
Severe swelling, hard lump, hot to touch, severe itching