VAERS ID: 1382906

AGE: 15| SEX: M|STATE: CA

Description

Unexplained death within 48 hours

Symptoms

Death

Vaccines

VAX DATE: 05-15-2021| ONSET DATE: 06-07-2021| DAYS TO ONSET: 23
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0187 IM LA

RECVDATE:06-08-2021
RPT_DATE:
CAGE_YR:15
CAGE_MO:
DIED:Y
DATEDIED:06-07-2021
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:None known
CUR_ILL:none noted
HISTORY:Acne, no other conditions noted
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:06-08-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:None noted
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.