VAERS ID: 1689212

AGE: 17| SEX: M|STATE: TX (United States)

Description

SARS COV2 POSITIVE ON 7/20; EXPIRED 8/29/2021

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Death, COVID-19, SARS-CoV-2 test positive

Vaccines

VAX DATE: 04-17-2021| ONSET DATE: 07-20-2021| DAYS TO ONSET: 94
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 0 COVID19 PFIZER\BIONTECH IM Unknown

RECVDATE:09-10-2021
RPT_DATE:
CAGE_YR:17
CAGE_MO:
DIED:Y
DATEDIED:08-29-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:51
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:CETIRIZINE, ERGOCALCIFEROL,
CUR_ILL:STAGE IV TESTICULAR EMBRYONAL RHABDOMYOSARCOMA W/ LUNG & BONE METASTASES
HISTORY:SEE ABOVE
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:09-10-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:VANCOMYCIN, TEMSIROLIMUS
V_FUNDBY:

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