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VAERS ID: 1815295

AGE: 17| SEX: F|State: TX

Description

Acute Hyperglycemic Crisis

Symptoms

Autopsy, Hyperglycaemia

Vaccines

VAX DATE: 17 June 2021 | ONSET DATE: 20 July 2021 | DAYS TO ONSET: 33
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 2
  • IM
  • LA
  • EW0178

RECVDATE:24 October 2021
CAGE_YR:17
CAGE_MO:
RPT_DATE:
DIED:Y
DATEDIED:22 July 2021
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:N
LAB_DATA:Autopsy performed 07/27/2021
V_ADMINBY:OTH
OTHER_MEDS:Benadryl
CUR_ILL:
HISTORY:Obesity
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:24 October 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:Orange Juice
V_FUNDBY:
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