National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1431095

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1431095
VAERS Form:2
Age:67.0
Sex:Female
Location:Unknown
Vaccinated:2021-03-24
Onset:2021-05-28
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Death, Thrombocytopenia, Acute kidney injury

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-14
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Death N17.9 - Acute kidney failure, unspecified D69.6 - Thrombocytopenia, unspecified

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1431095&WAYBACKHISTORY=ON

Government Disclaimer on use of this data


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166