Adverse Event Reporting

VAERS ID 2402817
Gender Female
Age 69
StateCode MI
Pharmaceutical Company NOVAVAX
Lot Number FM9992
Number of vaccinations 4
Vaccinated 2022-05-02
Onset 2022-07-31
Condition Hospitalized
Symptoms
  • SARS-CoV-2 test positive
  • COVID-19
  • Vaccine breakthrough infection

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

COVID +

Write-up

Breakthrough case after 4 vaccines Pfizer 2/2/21 Lot# EL9265; Pfizer 2/23/21 Lot# EN6200; Pfizer 10/25/21 Lot# FF8841; Pfizer 5/2/22 Lot# FM9992