Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||N/A - VACCINE N / UNK||- / -|
Administered by: Private Purchased by: ??
Symptoms: COVID-19, SARS-CoV-2 test positive
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: Patient was vaccinated with two doses of Moderna COVID-19 vaccines on 4/1/2021 and 4/29/2021, then subsequently diagnosed with positive COVID PCR on 9/30/2021 in the ED but was subsequently sent home. Patient then re-presented to the same hospital and this time was admitted on 10/4/2021.
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166