Adverse Event Reporting

VAERS ID 920447
Gender Unknown
Age 43
StateCode TX
Pharmaceutical Company MODERNA
Lot Number 025L20A
Number of vaccinations 1
Vaccinated 2020-12-31
Onset 2021-01-05
Condition
Symptoms
  • Peripheral swelling
  • Joint swelling

Current Illness

Unknown.

Preexisting Conditions

Unknown.

Other Medications

Unknown.

Previous Vaccinations

Allergies

No known allergies.

Laboratory Data

Write-up

Swelling to left forearm, wrist, and hand.