Adverse Event Reporting

VAERS ID 918372
Gender Unknown
Age 59
StateCode VT
Pharmaceutical Company MODERNA
Lot Number 039K20A
Number of vaccinations 1
Vaccinated 2020-12-30
Onset 2020-12-30
Condition Recovered
Symptoms
  • Paraesthesia
  • Injection site paraesthesia

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

left arm injection with hand tingling