VAERS ID: 1658459

AGE: 21| SEX: M|STATE: HI (United States)

Description

Specifically unknown, but patient (he's now deceased) was concerned about throwing up so much that he'd lose his stomach lining.

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

Vomiting, Cardiac disorder, Death, Autopsy

Vaccines

VAX DATE: 04-13-2021| ONSET DATE: 05-01-2021| DAYS TO ONSET: 18
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) Unknown COVID19 PFIZER\BIONTECH EW0150 Unknown Unknown

RECVDATE:08-31-2021
RPT_DATE:
CAGE_YR:21
CAGE_MO:
DIED:Y
DATEDIED:05-02-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Autopsy shows previously unidentified/ undiagnosed heart issues.
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:08-31-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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