Adverse Event Reporting

VAERS ID 914966
Gender Unknown
Age 42
StateCode CA
Pharmaceutical Company MODERNA
Lot Number 025L20A
Number of vaccinations 1
Vaccinated 2020-12-22
Onset 2020-12-23
Condition Recovered
Symptoms
  • Dizziness
  • Nausea
  • Syncope
  • Blood pressure systolic decreased

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

24 hours post vaccine, the patient experienced lightheaded, faint, nausea along with a drop in BP (60/systolic)