Report #2863022

Received Oct 3, 2025

DiedLife-threateningHospitalizedER / ED 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: Female
Age: 73 yrs
State: CA
Recovered: Not recovered
Vaccinated: Jan 30, 2021
Onset: Dec 20, 2021
Days to onset: 324
Hospital days: 20

Vaccines (3)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	N/A	EL8982	SYR / RA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	N/A	EN6200	SYR / RA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	N/A	FG3527	SYR / RA

Symptoms (6)

Anal prolapseDeathDepressionLaboratory test abnormalRenal failureTransfusion

Symptom narrative

*Depression- Xanax -continued to get worse *Kidney failure- diuretics, weekly shots, blood transfusions *Prolapsed anus Then she died on Jan 1, 2024.

Current illness

Lupus

Medical history

Lupus

Allergies

N/A

Lab data

Labs were weekly they continued to show downward fall.