VAERS ID: 1386841

AGE: 16| SEX: M|STATE: GA

Description

Prodrome of headache and gastric upset over 2 days following second dose. Then felt fine. Found the following day dead in bed. Autopsy pending

Symptoms

Abdominal discomfort, Condition aggravated, Death, Headache

Vaccines

VAX DATE: 06-03-2021| ONSET DATE: 06-07-2021| DAYS TO ONSET: 4
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) Unknown COVID19 PFIZER\BIONTECH IM AR

RECVDATE:06-09-2021
RPT_DATE:
CAGE_YR:16
CAGE_MO:
DIED:Y
DATEDIED:06-07-2021
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Autopsy pending
V_ADMINBY:OTH
OTHER_MEDS:Adderall
CUR_ILL:Headache, upset stomach
HISTORY:ADHD
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:06-09-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:NKDA
V_FUNDBY:

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