Report #2829096

Received Mar 3, 2025

DiedLife-threateningER / ED visit

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Overview

Sex: Female
Age: 85 yrs
State: VA
Recovered: Not recovered
Vaccinated: Jan 13, 2021
Onset: Jan 14, 2021
Days to onset: 1
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	—	IM / AR

Symptoms (3)

DeathLethargyMalaise

Symptom narrative

Lethargic, very unwell, death

Current illness

Diabetic, Broken ankle

Medical history

Diabetic

Other medications

Insulin