Adverse Event Reporting

VAERS ID 907052
Gender Male
Age 41
StateCode UT
Pharmaceutical Company MODERNA
Lot Number 039K202A
Number of vaccinations 1
Vaccinated 2020-12-22
Onset 2020-12-22
Condition
Symptoms
  • Dizziness
  • Chest pain
  • Irritability

Current Illness

1)Myopia, Bilateral - 2)Diabetes mellitus type 2 without retinopathy - 3)Type 2 diabetes mellitus - diagnosed in 2017 (date of onset is estimated) 4)Obesity - 5)Vitamin D deficiency - 6)Tinea corporis -

Preexisting Conditions

1)Myopia, Bilateral - 2)Diabetes mellitus type 2 without retinopathy - 3)Type 2 diabetes mellitus - diagnosed in 2017 (date of onset is estimated) 4)Obesity - 5)Vitamin D deficiency - 6)Tinea corporis -

Other Medications

Semaglutide 0.5mg sub q injection weekly Glipizide 5 mg tab BID Vit D3 2000IU tab daily Empagiflozin/metformin 10mg/1000mg XR tab daily

Previous Vaccinations

Allergies

NKA

Laboratory Data

NA

Write-up

Pt with dizziness and chest pain that started about 10 minutes after getting the Moderna Covid19 vacccine.
No shortness of breath, no rash, no fever, no swelling, no weakness.
Feels pain in center of chest and on L side.
Pt also has been having stress with work.
Pain started in the R side of the chest and migrated to the L side.
It improved with Nitro and Aspirin but pt states he still feels, "fussy.
" He has no symptoms of allergic reaction or anaphylaxis.
Pt has no known hx of cardiac dz, nonmoker, nondrinker.
His Mom has a cardiac murmur but no other known history of heart disease.