VAERS ID: 1000269

AGE: | SEX: M|STATE: FR (Unknown)

Description

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, Sudden cardiac death

Vaccines

VAX DATE: 01-19-2021| ONSET DATE: 01-20-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EJ6796 OT LA

RECVDATE:02-04-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:LANTUS; GALVUS; HYDROCHLOROTHIAZIDE; ARANESP; LUMINAL [FLUOXETINE HYDROCHLORIDE]; FUROSEMIDE; HIDROFEROL; RESINCALCIO; SPIROLACTONE; ATORVASTATIN; TARDYFERON; ALOPURINOL; OMEPRAZOL
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:02-03-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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