Adverse Event Reporting

VAERS ID 2014798
Gender Female
Age 80
StateCode
Pharmaceutical Company MODERNA
Lot Number 031A21A
Number of vaccinations 2
Vaccinated 2021-03-27
Onset 2021-08-24
Condition Hospitalized Died
Symptoms
  • Dyspnoea
  • SARS-CoV-2 test positive
  • COVID-19
  • Death
  • General physical health deterioration

Current Illness

Preexisting Conditions

COPD, HTN, anemia, renal failure

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

pt saw PCP and was diagnosed positive for COVID; to ED with increasing SOB; requires 2 1/2L O2 via NC @ home chronically, at ED required 4L to maintain O2 sats; admitted to hosp; treated with antibiotics, dexamethasone, remdesivir, vitamin supplementation; DNR; pt's condition worsened during her hospitalization where she passed away