Adverse Event Reporting
| VAERS ID | 2014824 |
|---|---|
| Gender | Male |
| Age | 73 |
| StateCode | WI |
| Pharmaceutical Company | JANSSEN |
| Lot Number | 203A21A |
| Number of vaccinations | 1 |
| Vaccinated | 2021-05-14 |
| Onset | 2022-01-06 |
| Condition | Died |
Symptoms
- COVID-19
- Death
Current Illness
Preexisting Conditions
Diastolic heart failure, Morbid obesity, COPD, HTN
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
covid related death