Adverse Event Reporting
| VAERS ID | 921880 |
|---|---|
| Gender | Male |
| Age | 96 |
| StateCode | VA |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EL1284 |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-02 |
| Onset | 2021-01-02 |
| Condition | Died |
Symptoms
- Death
Current Illness
was under hospice care
Preexisting Conditions
alzheimers disease, ataxia, HTN, Kidney malignancy history, Prostate cancer history, GERD, sleep apnea, history falls
Other Medications
Olanzapine, polyethylene glycol, ativan, morphine, senna
Previous Vaccinations
Allergies
oxycodone
Laboratory Data
Write-up
The resident was found deceased a little less than 12 hours following COVID vaccination, and he had had some changes over the last 2 days.
He was 96 and had been on hospice care for a little while.
Noone noticed any side effects from vaccine after it was given