Adverse Event Reporting

VAERS ID 966399
Gender Male
Age 49
StateCode MT
Pharmaceutical Company MODERNA
Lot Number
Number of vaccinations 1
Vaccinated 2020-12-28
Onset 2020-12-29
Condition Permanent Disability
Symptoms
  • Condition aggravated
  • Tinnitus
  • Deafness

Current Illness

none

Preexisting Conditions

hypertension, mild tinnitus

Other Medications

lisinopril 40mg, vitamin d3, cetirizine 10mg

Previous Vaccinations

Allergies

none

Laboratory Data

Write-up

severe tinnitus and loss of hearing as some tones.
persistent since day after vaccination and continuing through time of reporting to VAERS.