Adverse Event Reporting
| VAERS ID | 907058 |
|---|---|
| Gender | Female |
| Age | 33 |
| StateCode | AK |
| Pharmaceutical Company | MODERNA |
| Lot Number | 011J20A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-21 |
| Onset | 2020-12-21 |
| Condition | Recovered |
Symptoms
- Swollen tongue
- Throat irritation
Current Illness
cold x3weeks ago. negative for covid.
Preexisting Conditions
Fibromyalgia benign hypermobility syndrome
Other Medications
none
Previous Vaccinations
Allergies
opioids- nausea/vomiting Phenergan - skin/ itchiness
Laboratory Data
n/a
Write-up
itchiness in throat, mild tongue swelling.
Administered Benadryl 50 mg.
sx resolved 5-6 minutes after medication administered