Adverse Event Reporting

VAERS ID 906960
Gender Female
Age 47
StateCode ND
Pharmaceutical Company MODERNA
Lot Number 025J202A
Number of vaccinations 1
Vaccinated 2020-12-22
Onset 2020-12-22
Condition Recovered
  • Feeling hot
  • Dizziness
  • Cold sweat

Current Illness


Preexisting Conditions


Other Medications


Previous Vaccinations


Seasonal Allergies and Methimazole [Thiamazole]

Laboratory Data



Patient describes feeling hot, clammy and lightheaded about 5 minutes after vaccine administration.
BP:109/69 P:72 O2Sa:100% Patient states that injection site feels ok.
Got patient a juice and had her sit for another 15 minutes.
BP: 118/63 P:74 O2Sa: 99% Patient has normal hand and arm strength bi -lat.
After patient had cold juice and was able to breath without her mask on she felt much better.
Patient was able to stand and walk without dizziness.
Patient stated the she did not feel she needed further treatment.