Adverse Event Reporting
| VAERS ID | 920393 |
|---|---|
| Gender | Unknown |
| Age | 39 |
| StateCode | WI |
| Pharmaceutical Company | MODERNA |
| Lot Number | 011J20A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-26 |
| Onset | 2020-12-30 |
| Condition |
Symptoms
- No adverse event
- Product storage error
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Patient received a dose of vaccine that may be less than completely effective due to storage conditions.
No adverse effects reported.