Adverse Event Reporting

VAERS ID 915029
Gender Unknown
Age 65
StateCode
Pharmaceutical Company MODERNA
Lot Number 025J202A
Number of vaccinations 1
Vaccinated 2020-12-30
Onset 2020-12-30
Condition
Symptoms
  • Flushing
  • Dizziness
  • Dysgeusia
  • Pain
  • Nausea
  • Throat tightness
  • Abdominal discomfort
  • Gait disturbance

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

15 minutes of vacc nauseous, lightheaded sick to stomach, difficulty walking.
30 minutes throat got tight and a metallic taste in mouth.
Face and hands got flush.
after an hour and a half felt better.
Now achy.