VAERS ID: 1242573

AGE: 15| SEX: M|STATE: CO (United States)

Description

Heart failure

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

Cardiac failure, Death

Vaccines

VAX DATE: 04-18-2021| ONSET DATE: 04-19-2021| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH Unknown IM RA

RECVDATE:04-22-2021
RPT_DATE:
CAGE_YR:15
CAGE_MO:
DIED:Y
DATEDIED:04-20-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:PUB
OTHER_MEDS:Vaccinated with Pfizer/Biontech, died 04/20/2021, 2 days after vaccination
CUR_ILL:No
HISTORY:No
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:04-22-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:Nothing
V_FUNDBY:

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OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.