Adverse Event Reporting
| VAERS ID | 925556 |
|---|---|
| Gender | Male |
| Age | 81 |
| StateCode | |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-30 |
| Onset | 2021-01-06 |
| Condition | Died |
Symptoms
- Death
Current Illness
Acute on chronic heart failure, sepsis
Preexisting Conditions
CAD, CKD, DM type 2, CHF, Hx TIA, Atrial fibrillation
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Expired 1/05/2021