| VAERS ID: |
934059 (history) |
| Form: |
Version 2.0 |
| Age: |
99.0 |
| Sex: |
Female |
| Location: |
Iowa |
| Vaccinated: | 2021-01-08 |
| Onset: | 2021-01-09 |
| Days after vaccination: | 1 |
| Submitted: |
0000-00-00 |
| Entered: |
2021-01-11 |
| Vaccination / Manufacturer |
Lot / Dose |
Site / Route |
| COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH |
- / 1 |
- / - |
Administered by: Senior Living Purchased by: ? Symptoms: Acute myocardial infarction,
Death SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)
Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-01-10
Days after onset: 1
Permanent Disability? No
Recovered? No Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Other Medications: tramadol, calcium, Tylenol, lisinopril, Mucinex, MVI, namenda Current Illness: Had Covid 19 infection in November recovered, had spinal stenosis with leg weakness chronic Preexisting Conditions: Allergies: anastrozole Diagnostic Lab Data: CDC Split Type:
Write-up: Acute anterior MI with death |