This is VAERS ID 970309

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 4/8/2021

Vaccin­ation / Manu­facturer (1 vaccine)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA	028L20A / 1	LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Breast feeding

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient is breastfeeding her 5 month old son. Two nights after her 1st Moderna dose, he had violent vomiting, diarrhea, body rash, and hematuria.

New Search