Adverse Event Reporting
| VAERS ID | 1147625 |
|---|---|
| Gender | Male |
| Age | 74 |
| StateCode | MN |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EN6199 |
| Number of vaccinations | 1 |
| Vaccinated | 2021-03-04 |
| Onset | 2021-03-20 |
| Condition | Died |
Symptoms
- Death
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Patient death within 60 days of receiving a COVID vaccine