National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1437317

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437317
VAERS Form:2
Age:59.0
Sex:Female
Location:Oklahoma
Vaccinated:2021-06-29
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-06-30
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
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
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.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437317&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166