VAERS ID: 1406840
AGE: 13|
SEX:
M|STATE: Unk
Description
Flu like symptoms for 2 days then was found deceased
Symptoms
Death, Influenza like illness
Vaccines
VAX DATE: 12 June 2021 |
ONSET DATE: 13 June 2021 |
DAYS TO ONSET: 1
| Vaccine Type | Manufacturer | Vaccine Name | Dose | Route | Site | Lot |
|---|
|
|
- COVID19 (COVID19 (PFIZER-BIONTECH))
|
|
|
|
|
- RECVDATE:
- 16 June 2021
- CAGE_YR:
- 13
- CAGE_MO:
- RPT_DATE:
- DIED:
- Y
- DATEDIED:
- L_THREAT:
- ER_VISIT:
- HOSPITAL:
- HOSPDAYS:
- X_STAY:
- DISABLE:
- RECOVD:
- LAB_DATA:
- V_ADMINBY:
- UNK
- OTHER_MEDS:
- CUR_ILL:
- HISTORY:
- PRIOR_VAX:
- SPLTTYPE:
- FORM_VERS:
- 2
- TODAYS_DATE:
- BIRTH_DEFECT:
- OFC_VISIT:
- ER_ED_VISIT:
- ALLERGIES:
- V_FUNDBY: