Adverse Event Reporting
| VAERS ID | 906394 |
|---|---|
| Gender | Male |
| Age | 69 |
| StateCode | MS |
| Pharmaceutical Company | MODERNA |
| Lot Number | 011J20A |
| Number of vaccinations | |
| Vaccinated | 2020-12-21 |
| Onset | 2020-12-21 |
| Condition | Recovered |
Symptoms
- Injection site pain
- Vertigo
Current Illness
Preexisting Conditions
Stable T2DM, Stable HTN, BPH, OA
Other Medications
Metformin, Glipizide, Losartan, Simvastatin, Vit D, Flomax
Previous Vaccinations
Allergies
Penicillin, Tincture of Benzoin
Laboratory Data
None
Write-up
Left UE injection site soreness 4 hours post.
Severe vertigo approximately 10 hours after, lasting about 4 hours.