Adverse Event Reporting
| VAERS ID | 920804 |
|---|---|
| Gender | Unknown |
| Age | 39 |
| StateCode | OR |
| Pharmaceutical Company | MODERNA |
| Lot Number | 011J20A |
| Number of vaccinations | |
| Vaccinated | 2020-12-29 |
| Onset | 2020-12-30 |
| Condition |
Symptoms
- Pain in extremity
- Hypoaesthesia
- Headache
- Paraesthesia
- Nausea
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
patient reports numbness, pain, and tingling in arm; as well as Nausea and headache.
Nausea and headache lasted 2 days, pain in arm persists.