Report #2830444

Received Mar 10, 2025

DiedER / ED visit

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Overview

Sex: Male
Age: 62 yrs
State: NY
Recovered: Not recovered
Vaccinated: Jan 13, 2024
Onset: Feb 14, 2024
Days to onset: 32
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
UNK	VACCINE NOT SPECIFIED (OTHER)	UNKNOWN MANUFACTURER	UNK	80777-0102-93	SYR / UN

Symptoms (2)

Cardiac arrestDeath

Symptom narrative

Patient had a fatal cardiac arrest on February 14, 2024

Current illness

none

Medical history

Low weight and blood pressure

Other medications

don't recall

Allergies

penicillin, perhaps

Lab data

None performed after death.