Adverse Event Reporting

VAERS ID	1067766
Gender	Female
Age
StateCode	FR
Pharmaceutical Company	PFIZER\BIONTECH
Lot Number
Number of vaccinations
Vaccinated
Onset
Condition	Died

Symptoms

• Death

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

patient died; This is a spontaneous report from a contactable consumer who reported on behalf of his aunt.
A female patient of an unknown age received (Pfizer-BioNTech COVID-19 mRNA vaccine, Lot Number and Expiration Date unknown) via an unspecified route of administration on an unknown date at single dose for COVID-19 immunisation.
The patient's medical history and concomitant medications was not reported.
On an unknown date, patient died 3 weeks after having the Pfizer vaccine at her care home.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: unknown cause of death