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))

        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: