This is VAERS ID 1953860

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Headache, Vomiting
SMQs:, Acute pancreatitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PHPFIZER INC202101711255

Write-up: Headache; Vomiting; body weakness; This is a spontaneous report received from a contactable reporter(s) (Other healthcare professional) from Regulatory Authority. Regulatory number: PH-PHFDA-300121470 (Regulatory Authority). A 17 year-old male patient received bnt162b2 (COMIRNATY), intramuscular, administration date 10Nov2021 (Lot number: PCB0002) at the age of 17 years asDOSE NUMBER UNKNOWN, SINGLE for covid-19 immunisation. The patient''s relevant medical history and concomitant medications were not reported. The following information was reported: HEADACHE (death) with onset 17Nov2021, outcome "fatal", described as "Headache"; VOMITING (death) with onset 17Nov2021, outcome "fatal", described as "Vomiting"; ASTHENIA (death) with onset 17Nov2021, outcome "fatal", described as "body weakness". The patient date of death was unknown. The reported cause of death was headache, vomiting, asthenia. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: headache; vomiting; body weakness