VAERS ID: 1592684

AGE: 15| 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

Asthenia, Blood pressure increased, Body temperature decreased, Brain death, Brain hypoxia, C-reactive protein, Cardiac arrest, Coma, Computerised tomogram, Computerised tomogram head, Echocardiogram, Electrocardiogram, Electroencephalogram, Full blood count, Headache, Magnetic resonance imaging, Pain in extremity, SARS-CoV-2 antibody test positive, Ultrasound Doppler

Vaccines

VAX DATE: 07-11-2021| ONSET DATE: 07-11-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH OT Unknown

RECVDATE:08-20-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:08-07-2021
L_THREAT:Y
ER_VISIT:U
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:08-20-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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