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||040C21A / 2||LA / SYR|
Administered by: Pharmacy Purchased by: ??
Symptoms: Abdominal pain, Chills, Myalgia, Nausea, Pain in extremity, Pyrexia, 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
Previous Vaccinations: Annually, last at age 25, flu vaccine, similar symptoms
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Approx 8 hours after shot, developed fever, chills, myalgias, nausea, vomiting and abdominal pain, severe. Symptoms lasted over 12 hours. By 24 hours, fever and arm soreness persisted.
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166