Adverse Event Reporting
| VAERS ID | 919546 |
|---|---|
| Gender | Female |
| Age | 51 |
| StateCode | AL |
| Pharmaceutical Company | MODERNA |
| Lot Number | 011J20A |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-29 |
| Onset | 2021-01-01 |
| Condition | Hospitalized Life Threatening Permanent Disability |
Symptoms
- Antinuclear antibody positive
- Blood cholesterol increased
- Aphasia
- Mechanical ventilation
- Antiphospholipid antibodies
- Blood homocysteine
- Coagulation time
- Craniotomy
- Low density lipoprotein increased
- Thrombotic stroke
Current Illness
PMH- Lupus; HTN; marked hyperlipidemia
Preexisting Conditions
Lupus Hypertension Hyperlipidemia
Other Medications
Plaquenil Fioricet Midrin
Previous Vaccinations
Allergies
None listed
Laboratory Data
Total cholesterol- 465 LDL- 351 ANA (+) Labs pending- Lupus AC; antiphospholipid AB, homocysteine levels; hypercoagulability profile
Write-up
thrombotic stroke -necessitating hospitalization; and craniotomy; required mechanical ventilator for 2 days.
Patient now extubated, breathing on her own.
Patient remains hospitalized with marked deficits (aphasic)