Adverse Event Reporting

VAERS ID 917350
Gender Female
Age 20
StateCode WY
Pharmaceutical Company MODERNA
Lot Number
Number of vaccinations 1
Vaccinated 2020-12-26
Onset 2020-12-27
Condition Recovered
Symptoms
  • Fatigue
  • Dizziness
  • Blood test
  • Malaise
  • Impaired work ability
  • Injection site swelling
  • Exposure during pregnancy
  • Injection site discomfort
  • Ultrasound scan
  • Pregnancy test positive
  • Abortion spontaneous
  • Foetal heart rate abnormal

Current Illness

None

Preexisting Conditions

None

Other Medications

None

Previous Vaccinations

Allergies

None

Laboratory Data

Blood work and ultrasound - emergency dept.

Write-up

27Dec2020 - patient developed some swelling (went about 1 inch out from injection site) and discomfort at the injection site - had taken Advil and was using a cool compress.
29Dec2020 - patient had to leave work early since she was not feeling well - very fatigued and a little dizzy (able to eat/drink) - denied any COVID illness s/s (no cough, fever, loss of taste/smell, etc).
She ended up going to the local ED - since she was still very fatigued and was feeling like she was going to pass out - blood work and U/S done - this is where she found out she had been pregnant but had lost the pregnancy (no heart beat).
Per her report - all other blood work was unremarkable.
No other medications given to her during this visit and was just told that she would be 'passing the products of conception within this next week'.