Adverse Event Reporting

VAERS ID 917504
Gender Unknown
Age
StateCode TX
Pharmaceutical Company MODERNA
Lot Number 025620A
Number of vaccinations 1
Vaccinated
Onset
Condition
Symptoms
  • Arthralgia
  • Pyrexia
  • Injection site erythema
  • Injection site swelling
  • Injection site warmth
  • Back pain

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Feverish aches in ankles elbow and back.
Injection site is red and swollen and hot.