Adverse Event Reporting

VAERS ID 907922
Gender Female
Age 48
StateCode PR
Pharmaceutical Company MODERNA
Lot Number 011J20A
Number of vaccinations 1
Vaccinated 2020-12-23
Onset 2020-12-23
Condition Recovered
Symptoms
  • Dyspnoea
  • Cough

Current Illness

ASTHMA

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Seafood

Laboratory Data

Write-up

Patient reports shortness of breath and persistent cough.