VAERS ID: 1056210

AGE: | SEX: M|STATE: FR (Unknown)

Description

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Headache, Dyspnoea, Malaise, Leukocytosis, Respiratory disorder, Coma, Thrombocytopenia, Platelet count decreased, Peripheral coldness, Renal disorder, C-reactive protein increased, Oxygen saturation, Oxygen saturation decreased, Troponin, Fibrin D dimer increased, Blood lactic acid, Blood creatinine, Pulse abnormal, Blood urea, Investigation, SARS-CoV-2 test

Vaccines

VAX DATE: 02-06-2021| ONSET DATE: | DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EK9788

RECVDATE:02-26-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:02-07-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:CLEXANE; BISOPROLOL; PANTOMED [DEXPANTHENOL]; LORAMET; BEFACT [CYANOCOBALAMIN;PYRIDOXINE;THIAMINE]; MIRCERA; FOLAVIT; D-CURE; DAFALGAN FORTE
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:02-25-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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