Adverse Event Reporting
| VAERS ID | 907131 |
|---|---|
| Gender | Female |
| Age | 50 |
| StateCode | IA |
| Pharmaceutical Company | MODERNA |
| Lot Number | 025J202A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-22 |
| Onset | 2020-12-22 |
| Condition | Recovered |
Symptoms
- Palpitations
- Pharyngeal swelling
Current Illness
None known
Preexisting Conditions
Other Medications
Wellbutrin, Alprazolam (as needed), Loratadine, Omeprazole, Vitamin D, Calcium, Multivitamin
Previous Vaccinations
Allergies
Morphine, Strawberries, Prochlorperazine, Septra, Penicllin, Levaquin, Ciprofloxacin, Cephalexin, Ceftriaxone
Laboratory Data
Write-up
About 10-15 minutes after receiving vaccine patient reported that her heart began to race and throat began to swell.