Adverse Event Reporting

VAERS ID	913733
Gender	Female
Age	85
StateCode	PA
Pharmaceutical Company	MODERNA
Lot Number
Number of vaccinations
Vaccinated	2020-12-29
Onset	2020-12-29
Condition	Died

Symptoms

• Death

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

My grandmother died a few hours after receiving the moderna covid vaccine booster 1.
While I don?t expect that the events are related, the treating hospital did not acknowledge this and I wanted to be sure a report was made.