이상반응 보고

VAERS ID 915562
성별 여성
나이 88세
주 코드 KY
제약회사 PFIZER\BIONTECH
로트 번호 EL0142
예방접종 횟수 1
접종일 2020-12-30
발병일 2020-12-30
상태 사망
증상
  • 호흡곤란(Dyspnoea)
  • 구토(Vomiting)
  • 죽음(Death)

이환 중 질병

지병

기타 의료

이전 예방접종

알레르기

none listed

임상 검사

증상 상세

pt received vaccine at covid clinic on 12/30 at approximately 3:30, pt vomited 4 minutes after receiving shot--dark brown vomit, staff reported pt had vomited night before.
Per staff report pt became short of breath between 6 and 7 pm that night.
Pt had DNR on file.
pt passed away at approximately 10pm.
Staff reported pt was 14 + days post covid