Adverse Event Reporting

VAERS ID 906991
Gender Female
Age 43
StateCode NM
Pharmaceutical Company MODERNA
Lot Number 011J20A
Number of vaccinations 1
Vaccinated 2020-12-22
Onset 2020-12-22
  • Dizziness
  • Blood glucose normal
  • Vertigo

Current Illness


Preexisting Conditions

Type 2 diabetes, hypothyroidism, moderate asthma, obstructive sleep apnea, insomnia, polyarthralgia, GERD, chronic migraine, obesity, hyperlipidemia, fatigue, tobacco use disorder, elevated blood pressure, vitamin d deficiency, environmental allergies

Other Medications

Sumatriptan 50 mg PRN, Albuterol neb and inhaler PRN, Vitamin D 2000 units, Metformin 500 mg, Gabapentin 300 mg, Levothyroxine 88 mcg, Ibuprofen 800 mg, Propranolol 10 mg, Atorvastatin 10 mg,

Previous Vaccinations


Sulfa drugs, peanuts

Laboratory Data

Patients blood glucose was 144, BP 151/84, HR 78 bpm, and O2 was at 98% RA


Patient reported becoming dizzy 12 minutes after receiving injection.
Patient felt like she was going to faint.
Patient was placed on floor with legs elevated and given a snack and a sugary drink.
Felt better left facility and called in reporting when she got down to go inside her home she had a repeat episode of vertigo.