Adverse Event Reporting
| VAERS ID | 990956 |
|---|---|
| Gender | Male |
| Age | 91 |
| StateCode | IL |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EL1283 |
| Number of vaccinations | 1 |
| Vaccinated | 2021-01-12 |
| Onset | 2021-01-12 |
| Condition | Died |
Symptoms
- Death
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Systemic: Other- Patient passed away