Adverse Event Reporting

VAERS ID 1180374
Gender Female
Age 81
StateCode IL
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EL3246
Number of vaccinations 2
Vaccinated 2021-02-03
Onset 2021-04-04
Condition Died
Symptoms
  • Cardiac arrest
  • Resuscitation
  • Cardiac death

Current Illness

Unknown

Preexisting Conditions

ESRD on hemodialysis, COPD, AFib

Other Medications

unknown

Previous Vaccinations

Allergies

Sulfa

Laboratory Data

Write-up

Death within 60 days of vaccination.
Unwitnessed cardiac arrest, CPR attempted and unsuccessful.