Adverse Event Reporting

VAERS ID 907250
Gender Female
Age 34
StateCode WV
Pharmaceutical Company MODERNA
Lot Number 011J20A
Number of vaccinations 1
Vaccinated 2020-12-23
Onset 2020-12-23
Condition Recovered
Symptoms
  • Paraesthesia
  • Nausea
  • Vomiting
  • Dysphagia

Current Illness

n/a

Preexisting Conditions

Asthma

Other Medications

Buspar, Ventolin, Nuvaring, Phenergan

Previous Vaccinations

Allergies

Sulfa Medications

Laboratory Data

n/a

Write-up

Vomiting, Cheeks feel tingling, Slight difficulty swallowing.
Rest and will take oral Benadryl when gets home.
Will take Phenergan for nausea when gets home as well.
Starting to feel better after 2 hours.