Adverse Event Reporting
| VAERS ID | 918412 |
|---|---|
| Gender | Unknown |
| Age | 50 |
| StateCode | RI |
| Pharmaceutical Company | MODERNA |
| Lot Number | 011J20A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-28 |
| Onset | 2020-12-28 |
| Condition |
Symptoms
- Headache
- Palpitations
Current Illness
Preexisting Conditions
asthma, hypertension
Other Medications
hydrochlorothiazide 12.5mg, lisinopril 30mg, sertraline 100mg
Previous Vaccinations
Allergies
Sulfa
Laboratory Data
Write-up
Palpitations and headache