Adverse Event Reporting

VAERS ID 937933
Gender Female
Age 23
StateCode UT
Pharmaceutical Company MODERNA
Lot Number 037K20A
Number of vaccinations 1
Vaccinated 2020-12-29
Onset 2020-12-31
Condition Recovered
Symptoms
  • Fatigue
  • Headache
  • Exposure during pregnancy
  • Loss of personal independence in daily activities

Current Illness

None

Preexisting Conditions

None

Other Medications

Prenatal vitamins, Omeprazole, Sertraline

Previous Vaccinations

Allergies

None

Laboratory Data

none

Write-up

Extreme fatigue and headache for a few days so I was unable to complete my daily tasks.
I received a call from someone at CDC asking me to fill this out.
I am currently pregnant, 12 weeks along at time of injection.
Due date is 07/10/21