Report #2846803

Received Jun 22, 2025

Died

A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex: Male
Age: 75 yrs
State: TN
Recovered: Not recovered
Vaccinated: Feb 5, 2021
Onset: Mar 16, 2021
Days to onset: 39
Hospital days: —

Vaccines (2)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	EJ1686	SYR / UN
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	2	EL3246	SYR / UN

Symptoms (2)

Cardiac arrestDeath

Symptom narrative

Death due to Cardiac arrest

Current illness

None

Medical history

None known

Other medications

None

Allergies

None