Adverse Event Reporting
VAERS ID | 916041 |
---|---|
Gender | Unknown |
Age | 55 |
StateCode | TX |
Pharmaceutical Company | MODERNA |
Lot Number | 025L20A |
Number of vaccinations | 1 |
Vaccinated | 2020-12-30 |
Onset | 2020-12-30 |
Condition |
Symptoms
- Pain in extremity
- Peripheral swelling
- Headache
- Erythema
- Myalgia
Current Illness
HBP, high cholesterol, fibromyalgia
Preexisting Conditions
same
Other Medications
None
Previous Vaccinations
Allergies
Cipro, levaquean
Laboratory Data
Write-up
Next day with redness welling pain (L) arm (3cm) Headache muscle ache .
txt with Ibuprofen antihistamines