Adverse Event Reporting

VAERS ID 915441
Gender Unknown
Age
StateCode TX
Pharmaceutical Company MODERNA
Lot Number
Number of vaccinations 1
Vaccinated
Onset
Condition
Symptoms
  • Pyrexia
  • Headache
  • Chills
  • Nausea
  • Back pain
  • Neck pain

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Neck and back pain, extremely bad headache, nausea, fever, chills