Adverse Event Reporting

VAERS ID 2213168
Gender Female
Age 83
StateCode MO
Pharmaceutical Company MODERNA
Lot Number 031A21A
Number of vaccinations 2
Vaccinated 2021-03-26
Onset 2022-03-29
Condition Hospitalized
Symptoms
  • Confusional state
  • Feeling abnormal
  • Headache
  • Decreased appetite

Current Illness

unknown

Preexisting Conditions

COPD, High Blood Pressure, Cardiovascular disease

Other Medications

unknown

Previous Vaccinations

Allergies

unknown

Laboratory Data

unknown

Write-up

Brain fog, confusion, headache and poor appetite