Adverse Event Reporting

VAERS ID 926433
Gender Female
Age 88
StateCode FL
Pharmaceutical Company MODERNA
Lot Number 039K20A
Number of vaccinations 1
Vaccinated 2020-12-28
Onset 2020-12-31
Condition Hospitalized Permanent Disability
  • Intensive care
  • Visual impairment
  • Computerised tomogram abnormal
  • Haemorrhagic stroke
  • Neurologic neglect syndrome

Current Illness

high bp, high cholesterol,

Preexisting Conditions

deaf in rt ear - rt vestibular schwanoma,

Other Medications

Elequis, Amiodoron, pravastatin, losartin, synthroid, timalol

Previous Vaccinations



Laboratory Data

2 CT scans showing large bleed.


Hemmoragic Stroke.
Began with vision difficulty in the morning.
Then I noticed she had left sided neglect.
Went to ER.
Treated with Andresxa (to counteract Elaquis).
In SICU for 2 nights then telemetry unit for 3 nights.
CUrrently in Rehab.