VAERS ID: 1854668

AGE: 16| SEX: F|State: WI

Description

Was very tired and had sore muscles on September 09. Found September 10, 5:25 am dead. There were excessive amounts of blood along with large blood clots that appear to have come vaginally.

Symptoms

Death, Fatigue, Myalgia, Thrombosis

Vaccines

VAX DATE: 06 September 2021 | ONSET DATE: 31 August 2021 | DAYS TO ONSET:
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))

        RECVDATE:
        08 November 2021
        CAGE_YR:
        16
        CAGE_MO:
        RPT_DATE:
        DIED:
        Y
        DATEDIED:
        09 September 2021
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        N
        LAB_DATA:
        There was no autopsy ordered
        V_ADMINBY:
        PVT
        OTHER_MEDS:
        omeprazole gabapentin celecoxib nivolumab was last given on 9/03/2021
        CUR_ILL:
        Squamous cell lung cancer, Hx of radiation therapy, on antineoplastic chemotherapy, Esophagitis due to radiation,
        HISTORY:
        Recurrent respiratory papillomatosis, Tracheal papillomatosis
        PRIOR_VAX:
        SPLTTYPE:
        FORM_VERS:
        2
        TODAYS_DATE:
        08 November 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        Pineapple
        V_FUNDBY: