Adverse Event Reporting
| VAERS ID | 1084965 |
|---|---|
| Gender | Male |
| Age | 84 |
| StateCode | CA |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EN6199 |
| Number of vaccinations | 2 |
| Vaccinated | 2021-03-05 |
| Onset | 2021-03-05 |
| Condition | Died |
Symptoms
- Chest pain
- Unresponsive to stimuli
- Chest X-ray
- Electrocardiogram
- Full blood count
- Computerised tomogram abdomen
- Scan with contrast
- Cholelithiasis
- Ultrasound biliary tract
Current Illness
None
Preexisting Conditions
Obesity, blood clotting, possible pre-diabetes per the patient
Other Medications
Tlenol; Xarelto; Flomax; Ditropan; Cyclobenzaprine
Previous Vaccinations
Allergies
none
Laboratory Data
EKG, Abdominal CT scan with contrast, chest Xray, ultrasound of gallbladder; multiple full blood panel analysis
Write-up
Injection in left arm at 4:15 pm.
on Friday 3/5/2021.
At 9pm, 3/5/2021 he complained of chest pain and was taken by ambulance to Medical Center Emergency Room.
He was diagnosed with gallstones and discharged at approx 4:00 am on 3/6/2021.
He found non responsive at home shortly thereafter.