National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 10/15/2021 release of VAERS data:

This is VAERS ID 908431



Case Details

VAERS ID: 908431 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: California  
Vaccinated:2020-12-21
Onset:2020-12-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Blood magnesium, Brain natriuretic peptide, Chest X-ray, Chest discomfort, Chest pain, Dizziness, Full blood count, Hyperhidrosis, Metabolic function test, Myocardial necrosis marker, Nausea, Troponin, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: entresto,metoprolol,simvastin,oxycontin,torsemide,bumex,
Current Illness:
Preexisting Conditions: CAD,L4 L5 spinal injury,MVR, CABG x 1
Allergies: dilaudid,peanuts, chlorhexadine
Diagnostic Lab Data: CBC,CMP,BNP,CXR,MG,CARDIAC ENZYNMES/SERIAL TROPONINS,
CDC Split Type:

Write-up: I premedicated prior to injection with benadryl 50mg po and otc pepcid. Approx 25 minutes post injection felt some very mild chest pressure that slowly developed to moderate pain scale 4 over a period of approx 2 hours then returned to a mild pressure once again, all left sided and no radiation of pain noted. At approx 430pm the pressure began to increase again and became painful at approx a 5 on the pain scale, it was then I developed diaphoresis,dizziness and severe nausea/vomitting., Bright green bile appearing vomitus. Went to ED where I was given IV,Zofran 4mg x 2 doses,Reglan 10mg IV and contiued go vomit violently. Recd prescriptions for antiemetic and dc home to ride out the vomitting.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908431

Government Disclaimer on use of this data


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