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VAERS ID: 1386841

AGE: 16| SEX: M|State: GA

Description

Prodrome of headache and gastric upset over 2 days following second dose. Then felt fine. Found the following day dead in bed. Autopsy pending

Symptoms

Abdominal discomfort, Condition aggravated, Death, Headache

Vaccines

VAX DATE: 02 June 2021 | ONSET DATE: 06 June 2021 | DAYS TO ONSET: 4
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • UNK
  • IM
  • AR

RECVDATE:08 June 2021
CAGE_YR:16
CAGE_MO:
RPT_DATE:
DIED:Y
DATEDIED:06 June 2021
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:N
LAB_DATA:Autopsy pending
V_ADMINBY:OTH
OTHER_MEDS:Adderall
CUR_ILL:Headache, upset stomach
HISTORY:ADHD
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:08 June 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:NKDA
V_FUNDBY:
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