Adverse Event Reporting
| VAERS ID | 918518 |
|---|---|
| Gender | Female |
| Age | 50 |
| StateCode | NE |
| Pharmaceutical Company | MODERNA |
| Lot Number | 011L20A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-31 |
| Onset | 2020-12-31 |
| Condition | Died |
Symptoms
- Syncope
- Death
- Cardio-respiratory arrest
- Resuscitation
- Autopsy
Current Illness
To be determined
Preexisting Conditions
To be determined
Other Medications
To be determined
Previous Vaccinations
Allergies
To be determined
Laboratory Data
Autopsy being performed
Write-up
syncopal episode - arrested - CPR - death