Adverse Event Reporting

VAERS ID 1297569
Gender Female
Age 87
StateCode MD
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EN6199
Number of vaccinations
Vaccinated 2021-04-13
Onset 2021-04-15
Condition Died
Symptoms
  • Fatigue
  • Asthenia
  • Death

Current Illness

Preexisting Conditions

CAD, Hypertension, Diabetes

Other Medications

Imdur, metoprolol, chlorthalidone, atorvastatin, novolog, levemir, vit E, vit B12, calcium vit d3, simethecone, hawthorn berry

Previous Vaccinations

Allergies

HCTZ

Laboratory Data

Write-up

Extreme exhaustion, weakness.
Ultimately death on 4/29/2021