Adverse Event Reporting
| VAERS ID | 2215730 |
|---|---|
| Gender | Male |
| Age | 92 |
| StateCode | |
| Pharmaceutical Company | MODERNA |
| Lot Number | 009C21A; |
| Number of vaccinations | 2 |
| Vaccinated | 2021-06-15 |
| Onset | 2021-11-30 |
| Condition | Died |
Symptoms
- Inappropriate schedule of product administration
- Haemodialysis
- Death
- End stage renal disease
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Narrative: 91yo male Pt died on 11/30/2021.
Death caused from End- Stage Renal Disease (Hemodialysis).
Pt received covid vaccines on 6/15/2021 & 5/13/2021.
This death is not related to covid vaccines.