VAERS ID: 1095634

AGE: 18| SEX: F|STATE: TX (United States)

Description

2nd injection given on 2/19/2021 death 2/27/21

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

Blood test, Death, Magnetic resonance imaging

Vaccines

VAX DATE: 03-12-2021| ONSET DATE: 03-12-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EL9261 IM RA
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EN6201 IM LA

RECVDATE:03-12-2021
RPT_DATE:
CAGE_YR:18
CAGE_MO:
DIED:Y
DATEDIED:02-27-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:MRI and blood
V_ADMINBY:PHM
OTHER_MEDS:unknown
CUR_ILL:none
HISTORY:no
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:03-12-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:Y
ALLERGIES:none
V_FUNDBY:

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