Received Dec 8, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | UNK | — | UN / UN |
Death - Coroner's report states "Sepsis due to adverse medication reaction secondary to COVID 19 Viral Pneumonia Vaccine", "Natural/Sudden/Unexpected Death". Coroner's report stated his person always had severe reaction after getting COVID shot. Past history of COVID vaccinations on 2/21/21, 3/13/21, 9/23/21, 6/1/22, 12/19/22, 10/6/23, 11/14/24, and last one on 10/9/25.
Unknown.
Unknown.
Zolpidern Tartrate, Dephenoxylate-Atropi, Doxychel hyclate, Montelukast, Hydroxyzine hydrochloride, Levothyroxine, Doxepin Hydrochloride, Clonazepam, Colesevelam HCL, Omeprazole, Ferosul, and Methocarbamol.
Unknown.
No autopsy performed and no testing or lab results.
Congested, cough, diarrhea, chills, lightheadedness, and general feelings of unwell.