Adverse Event Reporting
| VAERS ID | 2014143 |
|---|---|
| Gender | Male |
| Age | 75 |
| StateCode | MN |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | FC3180 |
| Number of vaccinations | 3 |
| Vaccinated | 2021-08-20 |
| Onset | 2021-09-03 |
| Condition | Hospitalized Died |
Symptoms
- Hypotension
- Urinary tract infection
- Sepsis
- Ureterolithiasis
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Urinary tract infection, hypotension, ureteral stone, Severe sepsis without septic shock.
Several ED visits and hospital admissions within 6 weeks of receiving COVID vaccine.