Report #2890481

Received Mar 24, 2026

DiedER / ED visit

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: 70 yrs
State: CA
Recovered: Not recovered
Vaccinated: Feb 17, 2021
Onset: Jan 1, 2022
Days to onset: 318
Hospital days: —

Vaccines (4)

Type	Name	Manufacturer	Dose	Lot	Route / Site
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	1	EN6200	IM / LA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	2	EN6199	IM / LA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	3	FH8028	IM / LA
COVID19	COVID19 (COVID19 (PFIZER-BIONTECH))	PFIZER\BIONTECH	4	GJ3277	IM / LA

Symptoms (5)

Chest painDeathDyspnoeaHeadacheMyocardial infarction

Symptom narrative

Initial symptoms were multiple. Including headaches, chest pain and difficulty breathing. Eventually patient died on October 4th 2024 from a heart attack.

Current illness

N/A

Medical history

N/A

Other medications

Baby Aspirin

Allergies

N/A