Adverse Event Reporting

VAERS ID 908123
Gender Male
Age 43
StateCode NY
Pharmaceutical Company MODERNA
Lot Number 039K20A
Number of vaccinations 1
Vaccinated 2020-12-23
Onset 2020-12-23
Condition Recovered
Symptoms
  • Hyperhidrosis
  • Nausea
  • Pulse abnormal
  • Retching
  • Heart rate decreased
  • Blood pressure immeasurable
  • Pulse absent

Current Illness

hx multiple vasovagal syncope

Preexisting Conditions

Other Medications

Levothyroxine, Tums

Previous Vaccinations

Allergies

None

Laboratory Data

Write-up

Patient became diaphoretic and nauseated about 10 minutes post vaccination with Moderna Covid-19 vaccine.
Patient was assisted to stretcher who he had dry heaves and stated he felt nauseated.
HR was low around 38 and we were unable to determine a B/P but patient had a very weak radial pulse which at times was unable to be felt at all (due to low B/P).
Decision made to transport patient to the ED for further evaluation.
Patient eventually discharged from emergency department.