Adverse Event Reporting
| VAERS ID | 1123167 |
|---|---|
| Gender | Female |
| Age | 90 |
| StateCode | PA |
| Pharmaceutical Company | MODERNA |
| Lot Number | 013A21A |
| Number of vaccinations | 2 |
| Vaccinated | 2021-03-11 |
| Onset | 2021-03-15 |
| Condition | Hospitalized Died |
Symptoms
- Computerised tomogram
- Magnetic resonance imaging
- Cerebrovascular accident
Current Illness
none
Preexisting Conditions
Chronic Back Pain with recent hospitalization, osteoporosis, anxiety disorder, Chronic heart failure, chronic atrial fib, hypothyroidism, ckd gerd
Other Medications
Furosemide, Levothyroxine, Mirtazipine, omeprozole, pravastatin, thiamine,centrum,caltrate,Vitron-c
Previous Vaccinations
Allergies
none
Laboratory Data
ct,mri
Write-up
Stroke