Adverse Event Reporting

VAERS ID 2402919
Gender Female
Age
StateCode KY
Pharmaceutical Company NOVAVAX
Lot Number
Number of vaccinations 2
Vaccinated
Onset 2022-07-17
Condition Hospitalized Life Threatening
Symptoms
  • SARS-CoV-2 test positive
  • COVID-19

Current Illness

Preexisting Conditions

Chronic heart disease, COPD, DM, smoker, emphysema, lung cancer, asthma

Other Medications

Previous Vaccinations

Allergies

Latex, Codeine, PCN

Laboratory Data

COVID +

Write-up

Patient diagnosed with COVID 19