VAERS ID: 1000275

AGE: | SEX: F|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

Somnolence, Gait disturbance, Asthenia, Cough, Cardiac arrest, Productive cough, Echocardiogram, Balance disorder, Loss of consciousness, Rhinorrhoea, Death, Computerised tomogram abnormal, Ejection fraction decreased, Intracardiac thrombus, COVID-19, SARS-CoV-2 test positive

Vaccines

VAX DATE: 01-14-2021| ONSET DATE: 01-18-2021| DAYS TO ONSET: 4
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 0 COVID19 PFIZER\BIONTECH EM0477 OT Unknown

RECVDATE:02-04-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:01-20-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:SERESTA; ATORVASTATINE ARROW; INNOHEP; ENALAPRIL EG; PHOSPHONEUROS; BISOPROLOL SANDOZ; PANTOPRAZOLE MYLAN; DEXAMETHASONE; JANUVIA [SITAGLIPTIN]; AUGMENTIN [AMOXICILLIN;CLAVULANATE POTASSIUM]; MIMPARA; ELIQUIS; LERCAPRESS [ENALAPRIL MALEATE;
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:02-02-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.