Adverse Event Reporting
| VAERS ID | 1094146 |
|---|---|
| Gender | Male |
| Age | 66 |
| StateCode | |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EM9810 |
| Number of vaccinations | 2 |
| Vaccinated | 2021-01-30 |
| Onset | 2021-02-23 |
| Condition | Hospitalized Died |
Symptoms
- Fall
- Face injury
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
2nd dose administered on 2/20/21, on 2/23/21 the patient fell and sustained a facial injury