Adverse Event Reporting
| VAERS ID | 907081 |
|---|---|
| Gender | Female |
| Age | 61 |
| StateCode | CA |
| Pharmaceutical Company | MODERNA |
| Lot Number | 011J20A |
| Number of vaccinations | |
| Vaccinated | 2020-12-22 |
| Onset | 2020-12-22 |
| Condition | Recovered |
Symptoms
- Rash
- Pruritus
Current Illness
none
Preexisting Conditions
cutaneous lupus Rheumatoid arthritis
Other Medications
prebiotic Allegra multi vitamin
Previous Vaccinations
h/o reaction to allergy shot in the past, same feeling with on coming neck/face rash
Allergies
penicillin shellfish
Laboratory Data
none
Write-up
1600 Patient c/o itchiness to neck and face felt on coming rash 1625 notified me of reaction, advised to take Benadryl 50mg 1630 notified Pharmacist of reaction 1645 follow up with patient "doing okay" 1700 follow up call feeling the same not worse, leaving work for home, aware to go to ED if symptoms worsens