Adverse Event Reporting

VAERS ID 907032
Gender Male
Age 63
StateCode OH
Pharmaceutical Company MODERNA
Lot Number 039K20A
Number of vaccinations
Vaccinated 2020-12-22
Onset 2020-12-22
Condition Recovered
Symptoms
  • Pruritus

Current Illness

none

Preexisting Conditions

High Blood Pressure

Other Medications

Benedryl 50mg and Pepcid 20mg Tablet

Previous Vaccinations

Allergies

no

Laboratory Data

na

Write-up

States had generalized itching and ask for benedryl.
50mg Benedryl Tablet given PO after 10 minutes ask for Pepcid.
After 15 minutes states he feels better and issues resolved