Adverse Event Reporting

VAERS ID 914604
Gender Male
Age 74
StateCode MI
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EH9899
Number of vaccinations 1
Vaccinated 2020-12-16
Onset 2020-12-20
Condition Died
Symptoms
  • Death

Current Illness

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Spouse awoke 12/20 and found spouse dead.
Client was not transferred to hospital.