Adverse Event Reporting

VAERS ID 908005
Gender Female
Age 26
StateCode CT
Pharmaceutical Company MODERNA
Lot Number 011J20A
Number of vaccinations 1
Vaccinated 2020-12-22
Onset 2020-12-23
Condition
Symptoms
  • Arthralgia
  • Pain in extremity
  • Pyrexia
  • Headache
  • Chills
  • Nausea
  • Decreased appetite
  • Oedema peripheral
  • Joint range of motion decreased

Current Illness

None

Preexisting Conditions

None

Other Medications

Lo Loestrin Fe

Previous Vaccinations

Allergies

None

Laboratory Data

Write-up

High fever with chills approximately 12 hours after vaccination.
Severe headache, mild nausea, loss of appetite, joint pain.
Arm pain significant with almost no range of motion without pain.
Swelling around armpit.
Ibuprofen taken with minimal relief.
Arm pain, headache, intermittent fever is ongoing at this point in time.