Adverse Event Reporting
| VAERS ID | 906418 |
|---|---|
| Gender | Female |
| Age | 36 |
| StateCode | AL |
| Pharmaceutical Company | MODERNA |
| Lot Number | O11J20A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-21 |
| Onset | 2020-12-22 |
| Condition |
Symptoms
- Pyrexia
- Headache
- SARS-CoV-2 test negative
Current Illness
None
Preexisting Conditions
None
Other Medications
Cozaar 25mg by mouth daily. Vitamin D3 2,000 units by mouth daily.
Previous Vaccinations
Allergies
Penicillin allergy- break out in rash Codeine allergy- break out in rash
Laboratory Data
Rapid Covid-19 test done on 12/22/20.
Results were Negative.
Write-up
Headache Fever- temp as high as 102.
7