Report #2847921

Received Jun 30, 2025

Life-threateningHospitalizedER / ED visitOffice visitDisabled

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: 42 yrs
State: GA
Recovered: Unknown
Vaccinated: Jan 15, 2021
Onset: Sep 10, 2021
Days to onset: 238
Hospital days: 8

Vaccines (1)

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

Symptoms (3)

Cardiac arrestOcular strokeSudden death

Symptom narrative

Cardiac arrest - sudden patient death - September 10, 2021 & Ocular stroke March 26, 2022

Current illness

None

Medical history

High blood pressure, but managed by blood pressure meds

Other medications

Atenolol and Multivitamin

Allergies

Allergic to ilisone and phenobarbitol