Adverse Event Reporting

VAERS ID 908685
Gender Female
Age 22
StateCode AZ
Pharmaceutical Company MODERNA
Lot Number
Number of vaccinations
Vaccinated 2020-12-23
Onset 2020-12-23
Condition Hospitalized Life Threatening
Symptoms
  • Pharyngeal swelling
  • Supraventricular tachycardia

Current Illness

Chronic Tonsillitis Dysmenorrhea

Preexisting Conditions

N/A

Other Medications

Nuvaring

Previous Vaccinations

Allergies

N.K.A

Laboratory Data

Write-up

throat swelling, SVT