Adverse Event Reporting

VAERS ID 1084187
Gender Female
Age 94
StateCode
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EL9264
Number of vaccinations 1
Vaccinated 2021-01-30
Onset 2021-02-18
Condition Died
Symptoms
  • Death

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

At Home Care Hospice Patient