Adverse Event Reporting
| VAERS ID | 921667 |
|---|---|
| Gender | Female |
| Age | 39 |
| StateCode | OH |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EL0140 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-29 |
| Onset | 2021-01-03 |
| Condition | Died |
Symptoms
- Death
- Autopsy
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
LTCF Pfizer Vaccine clinic conducted 12/29/2020 Vaccine lead received a call indicating that a staff member deceased somewhere between 1/3/2021 and 1/4/2021.
Cause of death is unknown, and an autopsy is being performed.