Adverse Event Reporting

VAERS ID 907811
Gender Female
Age 41
StateCode IA
Pharmaceutical Company MODERNA
Lot Number 025J20
Number of vaccinations 1
Vaccinated 2020-12-23
Onset 2020-12-23
Condition
Symptoms
  • Pruritus
  • Rash macular

Current Illness

none

Preexisting Conditions

none

Other Medications

Sertaline 50mg

Previous Vaccinations

Allergies

morphine

Laboratory Data

Write-up

Itchy blotchy spots, left arm, left ear, back