Adverse Event Reporting
| VAERS ID | 1286341 |
|---|---|
| Gender | Female |
| Age | 81 |
| StateCode | |
| Pharmaceutical Company | MODERNA |
| Lot Number | 003C21A |
| Number of vaccinations | 1 |
| Vaccinated | 2021-04-23 |
| Onset | 2021-05-03 |
| Condition | Died |
Symptoms
- Mobility decreased
- Illness
- Housebound
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Patient was very ill and homebound.
Her son has to physically carry her to move her from one place to another and she is considered homebound.