Adverse Event Reporting
| VAERS ID | 907254 |
|---|---|
| Gender | Female |
| Age | 32 |
| StateCode | CT |
| Pharmaceutical Company | MODERNA |
| Lot Number | 011J20A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-23 |
| Onset | 2020-12-23 |
| Condition | Recovered |
Symptoms
- Erythema
- Rash
- Injection site pruritus
- Urticaria
Current Illness
none
Preexisting Conditions
Thyroid disease Migraine Allergic rhinitis GERD (gastroesophageal reflux disease) Visual impairment
Other Medications
Benadryl 50 mg po prior to vaccine
Previous Vaccinations
Flu vaccine Flucelvax
Allergies
Amoxicillin Penicillin Cefzil food and nut
Laboratory Data
Solumedrol 125 IM Pepcid 20 mg po
Write-up
Approx 10 min after receiving vaccine- patient developed rash and hives on neck and chest with complaints of itchiness on R arm at vaccine site.
Also developed redness to right ear.
no respiratory difficulties noted.
Patient transported to ED for further evaluation and treatment