Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||026A21A / 2||LA / IM|
Administered by: Private Purchased by: ??
Symptoms: Diarrhoea, Nausea, Vomiting
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: HCTZ, Synthroid, Doxepin, Fluticazone-Salmet inhaler
Current Illness: COPD, HTN, Depression, Chronic Laryngitis, vertigo, tinnitis
Preexisting Conditions: Tobacco User
Allergies: PCN, Morphine, Sulfa Drugs, Tizanidine, Meloxicam, Contrast
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt received 2nd dose of Moderna at 2pm on 6/29/2021, by 6pm same day started having symptoms of nausea/vomiting/diarrhea. At time of report on 6/30/2021, patient still having these symptoms. Pt states she has to go to work today. PCP was notified and the nurse spoke with pt and OTC meds were recommended. Pt to call back if symptoms persist.
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166