Adverse Event Reporting
| VAERS ID | 1574592 |
|---|---|
| Gender | Male |
| Age | 84 |
| StateCode | MO |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EL9269 |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-29 |
| Onset | 2021-07-25 |
| Condition | Died |
Symptoms
- COVID-19
- Death
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Covid vaccine received 1/29/21 and 3/4/21, Pfizer mRNA Covid-19 vaccine.
Client died of Covid related death on 7/25/2021