Adverse Event Reporting
| VAERS ID | 1417184 |
|---|---|
| Gender | Male |
| Age | 65 |
| StateCode | WA |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EN6199 |
| Number of vaccinations | 2 |
| Vaccinated | 2021-03-06 |
| Onset | 2021-05-16 |
| Condition | Hospitalized Died |
Symptoms
- SARS-CoV-2 test positive
- COVID-19
- Death
Current Illness
Acute Kidney Injury
Preexisting Conditions
Hypothyroidism due to Hashimoto's thyroiditis High Blood Pressure Immunosuppressive therapy - DM
Other Medications
Unknown
Previous Vaccinations
Allergies
Unknown
Laboratory Data
Positive COVID-19 test result on 05/17/2021
Write-up
The patient died of COVID-19