VAERS ID: 1592686

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

Pyrexia, Arthralgia, Oedema peripheral, Cough, Weight decreased, Productive cough, Ageusia, Systemic lupus erythematosus, Colitis, Decreased appetite, Fungal infection, White blood cell count, Ultrasound scan, Endoscopy, Blood culture, Liver function test, Urine analysis, Heart rate increased, Hypoacusis, Proteinuria, Diverticulitis, Anosmia, Musculoskeletal pain, Computerised tomogram head, Heart rate, C-reactive protein, Angiogram, Blood albumin, Weight, Blood iron, Microbiology test, Serology test, Protein albumin ratio, Benign prostatic hyperplasia, Blood pressure systolic, Granulocyte count, Biopsy oesophagus, Crepitations, Blood sodium, Biopsy stomach, Immunohistochemistry, Sputum test, Pulmonary mass, Investigation, Prothrombin level, Multiple organ dysfunction syndrome, Blood pressure diastolic, Bence Jones proteinuria

Vaccines

VAX DATE: 04-23-2021| ONSET DATE: 04-23-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EX2405 OT

RECVDATE:08-20-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:07-16-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:19
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:08-20-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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