Adverse Event Reporting

VAERS ID 907936
Gender Male
Age 23
StateCode OH
Pharmaceutical Company MODERNA
Lot Number 011J20A
Number of vaccinations 1
Vaccinated 2020-12-23
Onset 2020-12-23
Condition Recovered
Symptoms
  • Flushing
  • Chest discomfort
  • Dyspnoea

Current Illness

None known

Preexisting Conditions

None known

Other Medications

N/A

Previous Vaccinations

Allergies

None previously known

Laboratory Data

Write-up

Patient became flushed, chest tightness and felt winded.
BP was 130/70 and 02 saturation was 100%.
Patient had not tongue swelling, previous reaction to a vaccine, medication or food and no shortness of breath.
Patient was placed on gurney for 30 minutes and had no further symptoms after this time.