Report #2877884

Received Dec 15, 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: 64 yrs
State: IL
Recovered: Not recovered
Vaccinated: Oct 22, 2025
Onset: Dec 2, 2025
Days to onset: 41
Hospital days: —

Vaccines (1)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	UNK	NA4457	IM / RA

Symptoms (1)

Death

Symptom narrative

Death