Adverse Event Reporting
| VAERS ID | 907385 |
|---|---|
| Gender | Female |
| Age | 31 |
| StateCode | KY |
| Pharmaceutical Company | MODERNA |
| Lot Number | 025JZOA |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-22 |
| Onset | 2020-12-22 |
| Condition | Recovered |
Symptoms
- Dizziness
- Tachycardia
- Heart rate irregular
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Initial c/o Lightheadedness within 15 min.
of vaccine.
Episodes of tachycardia 70's - 140's B/P 126/90 Patient monitored & revitaled 1620 B/P 120/72 HR IRREgular 1635 BP 120/72 HR Regular 1645 MD ON SCENE to ASSESS 1655 exited w/husbanD