VAERS ID: 1658459

AGE: 21| SEX: M|STATE: HI

Description

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

Symptoms

Autopsy, Cardiac disorder, Death, Vomiting

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:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Autopsy shows previously unidentified/ undiagnosed heart issues.
V_ADMINBY:
OTHER_MEDS:None
CUR_ILL:None
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:08-31-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:None
V_FUNDBY:

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