Adverse Event Reporting
| VAERS ID | 907135 |
|---|---|
| Gender | Female |
| Age | 39 |
| StateCode | NJ |
| Pharmaceutical Company | MODERNA |
| Lot Number | 011520A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-21 |
| Onset | 2020-12-21 |
| Condition |
Symptoms
- Pyrexia
- Chills
- Injection site pain
- Injection site erythema
- Injection site swelling
- Injection site rash
Current Illness
None
Preexisting Conditions
None
Other Medications
None
Previous Vaccinations
Allergies
Sulfa drugs
Laboratory Data
None
Write-up
Redness, swelling and tenderness at the injection site Rash appeared at the injection site after 8 hours of administration.
Chills and low grade fever