VAERS ID: 2263247

AGE: 46| SEX: M|STATE: ND (United States)

Description

Reportedly complained of shortness of breath and "not feeling right" to work supervisor on on 11/12/2021 Collapsed in front of sister on 11/18/2021, transported to hsopital by EMS, pronounced dead at hopsital on 11/18/2021

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

Syncope, Dyspnoea, Pulmonary oedema, Splenomegaly, Hepatomegaly, Cardiomegaly, Hepatic steatosis, Pulmonary embolism, Feeling abnormal, Pulmonary congestion, Death, Autopsy

Vaccines

VAX DATE: 11-01-2021| ONSET DATE: 11-12-2021| DAYS TO ONSET: 11
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (MODERNA)) 2 COVID19 MODERNA 051F21A SYR RA

RECVDATE:05-04-2022
RPT_DATE:
CAGE_YR:46
CAGE_MO:
DIED:Y
DATEDIED:11-18-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Autopsy findings: Saqddle pulmonary embolism Obesity (BMI 37 kg/m2) Cardiomegaly (595 gms) with scattered hypertrophic myocytes Hepatmegaly (2470 gms) with micro and macro steatosis Splenomegaly (395 gms) Pulmonary congestion and edma with intraalveolar macrophages and one focus of intralveolar neutrophils
V_ADMINBY:WRK
OTHER_MEDS:Naproxen
CUR_ILL:
HISTORY:Obesity
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:05-04-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:
V_FUNDBY:

Questions? Comments? Bugs?
[email protected]
Due to the high volume of inquiries, please be patient with response times.

AND PLEASE read the FAQ first.

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