Adverse Event Reporting
| VAERS ID | 1296253 |
|---|---|
| Gender | Male |
| Age | 81 |
| StateCode | GA |
| Pharmaceutical Company | MODERNA |
| Lot Number | 013A21A |
| Number of vaccinations | 2 |
| Vaccinated | 2021-02-03 |
| Onset | 2021-03-23 |
| Condition | Died |
Symptoms
- Acute respiratory failure
- Atypical pneumonia
- Plasma cell myeloma
Current Illness
Preexisting Conditions
UNKNOWN
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
ACUTE HYPOXIC RESPIRATORY FAILURE, ATYPICAL PNEUMONIA, MULTIPLE MYELOMA