Adverse Event Reporting

VAERS ID 1033873
Gender Female
Age 25
StateCode IL
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EL3246
Number of vaccinations 2
Vaccinated 2021-01-20
Onset 2021-02-01
Condition Died
Symptoms
  • Death

Current Illness

Preexisting Conditions

CHRONIC KIDNEY DISEASE

Other Medications

VENLAFAXINE, LOSARTAN, TRAZODONE. THERE MAY BE OTHERS. SHE WAS PARTICIPATING IN A CLINICAL TRIAL

Previous Vaccinations

Allergies

UNKNOWN

Laboratory Data

UNKNOWN

Write-up

PATIENT PASSED AWAY ON 2-1-2021