Adverse Event Reporting

VAERS ID 907194
Gender Male
Age 61
StateCode CT
Pharmaceutical Company MODERNA
Lot Number 011J20A
Number of vaccinations 1
Vaccinated 2020-12-22
Onset 2020-12-22
Condition Recovered
Symptoms
  • Arthralgia
  • Fatigue
  • Pyrexia
  • Headache
  • Chills
  • Myalgia

Current Illness

None

Preexisting Conditions

CAD, HTN

Other Medications

Aspirin, Lopressor, Lisinipril/HCTZ, Rosuvastatin

Previous Vaccinations

Allergies

None

Laboratory Data

None

Write-up

Moderna COVID-19 Vaccine- Fever, Chills, Muscle and joint aches, headache, fatigue.
Self limiting, went to bed and woke feeling better.
Only fatigue now.