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
  • Death

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations


Laboratory Data


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.