Adverse Event Reporting
| VAERS ID | 1745752 |
|---|---|
| Gender | Female |
| Age | 89 |
| StateCode | NJ |
| Pharmaceutical Company | MODERNA |
| Lot Number | 050EZ1A |
| Number of vaccinations | 3 |
| Vaccinated | 2021-09-16 |
| Onset | 2021-09-17 |
| Condition | Hospitalized Died |
Symptoms
- Pyrexia
- Asthenia
- Dysphagia
- Computerised tomogram
- Speech disorder
- Respiratory distress
- Computerised tomogram thorax
- Death
- Monoplegia
- Depressed level of consciousness
- General physical health deterioration
- Magnetic resonance imaging head normal
Current Illness
none
Preexisting Conditions
hypertension
Other Medications
amlodipine /pantoprazole /vit d /vit b 12
Previous Vaccinations
Allergies
none known
Laboratory Data
magnetic scans of brain x 2 / cat scans x 1 / cat scan of chest /
Write-up
fever and weakness day after vaccine with increasing weakness at home /admitted to hospital 4 days later with weakness /progressive decline with weakness and paralysis of left arm / stroke suspected but could not be confirmed on 2 magnetic resonance scans /inability to speak and then swallow / treated for possible aspiration pneumonia /progressed to being obtunded and respiratory distress / died 9/25/21