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Report #2830361

Received Mar 10, 2025

DiedLife-threatening
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Male
Age
77 yrs
State
FL
Recovered
Unknown
Vaccinated
Dec 3, 2024
Onset
Dec 4, 2024
Days to onset
1
Hospital days
—

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (MODERNA))MODERNAUNK8081564IM / RA

Symptoms (8)

Condition aggravatedCrepitationsDeathDyspnoeaGuillain-Barre syndromeOxygen saturation decreasedRespiratory distressWheezing

Symptom narrative

Reported Symptoms: 10038687:RESPIRATORY DISTRESS: Narrative: This was a hospice patient that had a history of Guillain Barre to other vaccinations, CHF , permanent AF, CKD stage 3, colon cancer s/p colostomy. Healthcare surraogate agreed for the patient to receive the COVID-19 booster "In an attempt to minimize or prevent the risks of getting covid-19, and its potential complications. Patient presented with dyspnea and low oxygen saturations the following day. Patient had wheezes and crackles but was in minimal distress. Patient was admitted for further follow-up and due to poor prognosis found during adult was transferred to hospice where patient experienced worsening Guillain Barre deemed to be due to COVID vaccine. Patient passed away 12 days after receiving vaccine. Other Relevant HX: Other: Respiratory distress - History of Guillain Barre