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Report #2904615

Received Jul 24, 2026

DiedER / ED visitOffice 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
25 yrs
State
IN
Recovered
Not recovered
Vaccinated
Apr 23, 2021
Onset
May 23, 2021
Days to onset
30
Hospital days
—

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH1—UN / UN
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2—UN / UN

Symptoms (4)

AmnesiaBrain fogDeathSeizure

Symptom narrative

Patients mother states son started having memory loss , and states son informed her brain is foggy , patient had seizures regarding vaccine both doses , patient saw specialist neurologist , patient passed away January 1st 2026 due to a seizure .