VAERS ID: 1078618

AGE: 84| SEX: F|STATE: CT (United States)

Description

She was week, fell, wouldn't eat, drink or get out of bed. Died after being sent to hospital 3 times and ended up on hospice

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(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

Asthenia, Decreased appetite, Fall, Death, Mobility decreased, Food refusal

Vaccines

VAX DATE: 01-19-2021| ONSET DATE: 01-25-2021| DAYS TO ONSET: 6
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 0 COVID19 PFIZER\BIONTECH SYR Unknown

RECVDATE:03-06-2021
RPT_DATE:
CAGE_YR:84
CAGE_MO:
DIED:Y
DATEDIED:02-07-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:3
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:SEN
OTHER_MEDS:
CUR_ILL:
HISTORY:Alzheimer , high cholesterol
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:03-06-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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