Adverse Event Reporting

VAERS ID 1213032
Gender Male
Age 76
StateCode
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EN6199
Number of vaccinations 1
Vaccinated 2021-03-05
Onset 2021-03-18
Condition Hospitalized Life Threatening Died
Symptoms
  • Troponin I increased
  • COVID-19
  • Thrombocytopenia
  • Pneumonia
  • Leukopenia

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

D69.
6 - Thrombocytopenia (CMS/HCC) U07.
1 - COVID-19 D72.
819 - Leukopenia R77.
8 - Elevated troponin I level J18.
9 - Multifocal pneumonia U07.
1, J12.
82 - Pneumonia due to COVID-19 virus