Adverse Event Reporting
| VAERS ID | 906572 |
|---|---|
| Gender | Female |
| Age | 40 |
| StateCode | MO |
| Pharmaceutical Company | MODERNA |
| Lot Number | 01120A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-22 |
| Onset | 2020-12-22 |
| Condition |
Symptoms
- Headache
- Paraesthesia
Current Illness
None
Preexisting Conditions
Hypothyroidism
Other Medications
Synthroid 88mcg one daily Multivitamin one at night
Previous Vaccinations
Allergies
Penicillin
Laboratory Data
n/a
Write-up
headache - pt reports she will take Tylenol , reports head is ongoing tingling between shoulders - resolved