Adverse Event Reporting
| VAERS ID | 1114735 |
|---|---|
| Gender | Male |
| Age | 82 |
| StateCode | IL |
| Pharmaceutical Company | MODERNA |
| Lot Number | 038KWA |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-27 |
| Onset | 2021-02-18 |
| Condition | Died |
Symptoms
- Shock
- Intestinal ischaemia
- Gastrointestinal necrosis
Current Illness
Preexisting Conditions
Myelodysplastic Syndrome
Other Medications
Lisinopril; Metoprolol; Sulfamethoxazole-Trimethoprim; Fluconazole; Acyclovir; Atorvastatin; Loratadine; CoQ10; Glucosamine Chondroitin; Lutein; Vitamins C, D3, B-complex; Collagen.
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Acute mesenteric ischemia; shock secondary to necrotic bowel.