Adverse Event Reporting

VAERS ID 2501573
Gender Male
Age 83
StateCode
Pharmaceutical Company MODERNA
Lot Number 022M20A
Number of vaccinations 1
Vaccinated 2021-02-25
Onset 2021-03-12
Condition Died
Symptoms
  • Death

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Narrative: