Adverse Event Reporting

VAERS ID 2557319
Gender Female
Age 49
StateCode FR
Pharmaceutical Company MODERNA
Lot Number 214030
Number of vaccinations
Vaccinated 2022-01-11
Onset
Condition Permanent Disability
Symptoms
  • Deep vein thrombosis

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up