Report #2872550

Received Nov 13, 2025

DiedLife-threatening

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: 31 yrs
State: TX
Recovered: Not recovered
Vaccinated: Sep 23, 2021
Onset: Feb 1, 2022
Days to onset: 131
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	FE3592	IM / LA

Symptoms (1)

Death

Symptom narrative

Death- 2-1-22

Current illness

myocardial infarction- indicated in medical records 3/17/21- never told to patient when in ICU at Hospital.

Medical history

myocardial infarction-

Other medications

ketorolac 15 mg, rizatriptan 10mg, amitripyline 10mg