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 Type | Manufacturer | Vaccine Name | Dose | Route | Site | Lot |
|
|
- COVID19 (COVID19 (PFIZER-BIONTECH))
|
|
|
|
|
- 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: