National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1457174

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1457174
VAERS Form:2
Age:44.0
Sex:Female
Location:Alabama
Vaccinated:2021-06-25
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Adverse reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Cymbolta, Propanolol, Valacyclovir, Celeloxib, Escitalopram, Clovapam, Cyclobenzapreme, Rizatripatan, Percocet, Tramdol
Current Illness:
Preexisting Conditions:
Allergies: Penacillin, Loratab, Latex gloves,
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: When I had the vaccine, two nights later I couldn''t breathe and my chest was hurting. I got the shot about 2 weeks ago, and patient stated that she did not go see doctor about Adverse Reaction.. Patient has recovered from Adverse Reaction.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1457174&WAYBACKHISTORY=ON


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