Adverse Event Reporting
| VAERS ID | 914961 |
|---|---|
| Gender | Female |
| Age | 88 |
| StateCode | KY |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EL0142 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-30 |
| Onset | 2020-12-30 |
| Condition | Died |
Symptoms
- Death
Current Illness
per nursing home staff over 14 days post covid
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
none listed
Laboratory Data
Write-up
pt passed away with an hour to hour and 1/2 of receiving vaccine.
per nursing home staff they did not expect pt to make it many more days.
pt was unresponsive in room when shot was given.
per nursing home staff pt was 14 + days post covid