Adverse Event Reporting

VAERS ID 922785
Gender Unknown
Age 41
StateCode TX
Pharmaceutical Company MODERNA
Lot Number 037K20A
Number of vaccinations 1
Vaccinated 2020-12-28
Onset 2020-12-28
Condition Recovered
Symptoms
  • Paraesthesia
  • Urticaria

Current Illness

none

Preexisting Conditions

none

Other Medications

none

Previous Vaccinations

Allergies

Cipro (N/V)

Laboratory Data

Write-up

About 5 minutes after vaccine was given, tingling sensation occurred on left arm down to left hand (Thumb, index, middle finger.
) Grip is good both hands On 12/31/2020 Patient experienced "Nickle sized welts on her elbow, wrist and stomach.
She also experienced more tingling in her left arm.
There was 2 welts on her left wrist and 1 welt on her left elbow.
The welt on her stomach was on her right side.
She took some Zyrtec and applied warm packs.
The welts resembled an "ant bite", "raise but no pus" in them.
As of today 1/5/2021, They are resolved and patient feels better.