Adverse Event Reporting
| VAERS ID | 906812 |
|---|---|
| Gender | Female |
| Age | 36 |
| StateCode | NE |
| Pharmaceutical Company | MODERNA |
| Lot Number | 011J20A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-22 |
| Onset | 2020-12-22 |
| Condition |
Symptoms
- Flushing
- Dizziness
- Presyncope
- Electrocardiogram
- Blood glucose
Current Illness
None reported
Preexisting Conditions
None reported
Other Medications
Lexapro 20 mg, Vitamin D
Previous Vaccinations
Allergies
PCN, Sulfa Antibiotics
Laboratory Data
EKG, blood glucose
Write-up
Dizziness, Flushed, Light headed, Near Syncopal Episode.