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From the 11/12/2021 release of VAERS data:

Found 2,768 cases where Vaccine is COVID19 and Symptom is COVID-19 and Patient Died

Government Disclaimer on use of this data



Case Details (Sorted by Age)

This is page 15 out of 277

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VAERS ID: 1056295 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2020-12-31
Onset:2021-01-05
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ 0724 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure measurement, Body temperature, COVID-19, COVID-19 pneumonia, Confusional state, Heart rate, Hypertension, Malaise, Oxygen saturation, Respiratory rate, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypertension (narrow), Hypoglycaemia (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-29
   Days after onset: 24
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ADIZEM-XL; ACETYLSALICYLIC ACID; ATORVASTATIN; RAMIPRIL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19 pneumonia; Ex-smoker (Ex-smoker (stopped 2015, unable to establish pack years from notes)); Hypertension; Peripheral arterial disease; Comments: HTN, Ex-smoker (stopped 2015, unable to establish pack years from notes), IGR, PAD. Unsure if patient is enrolled in clinical trial
Allergies:
Diagnostic Lab Data: Test Name: Blood pressure; Result Unstructured Data: Test Result:160/80; Test Name: Body temperature; Result Unstructured Data: Test Result:39.7; Test Name: Heart rate; Result Unstructured Data: Test Result:90; Test Name: Oxygen saturation; Test Result: 90 %; Test Name: Oxygen saturation; Result Unstructured Data: Test Result:less than 90 %; Test Name: Respiratory rate; Result Unstructured Data: Test Result:28; Test Date: 20210111; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:Yes - Positive COVID-19 test
CDC Split Type: GBPFIZER INC2021185944

Write-up: hypertension; unwell; confused state; SARS-CoV-2 infection; COVID-19 pneumonia; This is a spontaneous report from a contactable other healthcare professional (other HCP) received from the MHRA. Regulatory authority report number is GB-MHRA-WEBCOVID-202102180927046120, Safety Report Unique Identifier is GB-MHRA-ADR 24784988. A 79-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EJ 0724) via an unspecified route of administration on 31Dec2020 at a single dose for covid-19 immunisation. Medical history included covid-19 pneumonia, hypertension, ex-smoker (stopped 2015, unable to establish pack years from notes), IGR, and peripheral arterial disease (PAD). Unsure if patient was enrolled in clinical trial. Concomitant medication included diltiazem hydrochloride (ADIZEM-XL) from 12May2017, acetylsalicylic acid from 11Mar2017 for prophylaxis, atorvastatin from 17Sep2015 for prophylaxis, and ramipril from 12Mar2016 for hypertension. The patient experienced covid-19 pneumonia (death) on 05Jan2021, hypertension (death) on an unspecified date, unwell (non-serious) on an unspecified date with outcome of unknown, confused state (non-serious) on an unspecified date with outcome of unknown, sars-cov-2 infection (non-serious) on 11Jan2021 with outcome of not recovered. Details reported as found on the floor at his home address on 07Jan2021, had been on floor for 2 days. In confused state and had not used alarm system to summons assistance. Ambulance crew used OOH for assessment ad patient. Refused admission to hospital. Obs then, RR28, Hr 90, SpO2 90%oa, BP 160/80, T 39.7c BM6.5. It was attempted to follow up the next working day. Unable to make contact. Ambulance called again on 10Jan2021. SpO2 less than 90%, now too unwell to refuse admission. Admitted to local hospital on 10Jan2021. Patient tested positive Covid-19 on 11Jan2021 in hospital. Onto CPAP. Never recovers. The patient died on 29Jan2021. Cause of death given as Covid pneumonia and hypterension. It was unknown if an autopsy was performed. No follow-up activities are possible. No further information is expected.; Reported Cause(s) of Death: Covid Pneumonia; Hypertension


VAERS ID: 1058058 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-01-17
Onset:2020-12-27
Submitted: 0000-00-00
Entered: 2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM0477 / 2 - / OT

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Off label use, Oxygen saturation decreased, Product use issue, SARS-CoV-2 test, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Acute central respiratory depression (broad), Respiratory failure (broad), Medication errors (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-31
   Days after onset: 35
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: Medical History/Concurrent Conditions: Aspiration; Chronic respiratory failure; Dysphagia; Oxygen therapy (for years for chronic respiratory failure); Parkinsonism; Polymyalgia rheumatica (Chronic treatment with corticosteroids); Vascular dementia
Allergies:
Diagnostic Lab Data: Test Date: 20210124; Test Name: desaturation; Result Unstructured Data: Test Result:desaturation; Test Date: 20210115; Test Name: PCR; Test Result: Negative ; Test Date: 20210120; Test Name: PCR; Test Result: Negative ; Test Date: 20210124; Test Name: PCR; Test Result: Positive
CDC Split Type: ESPFIZER INC2021098153

Write-up: Drug ineffective/COVID-19 respiratory infection; COVID-19 respiratory infection; polymyalgia rheumatica on chronic treatment with corticosteroids; polymyalgia rheumatica on chronic treatment with corticosteroids; This is a spontaneous from a contactable physician downloaded from the Regulatory Authority-WEB ES-AEMPS-729768. A 98-year-old female patient received first dose of BNT162B2 (COMIRNATY) Solution for injection, intramuscular on 27Dec2020 as a single dose (lot number: EJ6796), second dose intramuscular on 17Jan2021 as a single dose (lot number/batch number: EM0477) for covid-19 vaccination. Medical history included chronic respiratory failure, parkinsonism, vascular dementia, polymyalgia rheumatica on chronic treatment with corticosteroids, nocturnal oxygen therapy for years for chronic respiratory failure, possible microaspirations due to dysphagia. Concomitant medications were not reported. As per verbatim: The patient''s (Institutionalized person) (AP) past antecedent included vascular dementia, parkinsonism, polymyalgia rheumatica on chronic treatment with corticosteroids, nocturnal oxygen therapy for years for chronic respiratory failure, possible microaspirations due to dysphagia. On 27Dec2020 she received the 1st dose of Comirnaty. On 17Jan2021 she received the 2nd dose (batch EM0477). Since 15Jan2021, she was confined by close contact in her module. Polymerase chain reaction (PCR) on 15Jan2021 and 20Jan2021 were negative. On 24Jan2021 he presented fever and desaturation. PCR was positive for COVID. Covid-19 infection. On 24Jan2021, the patient experienced COVID-19 respiratory infection (medically significant), drug ineffective (medically significant). The patient underwent laboratory tests and procedures which included SARS-CoV-2 PCR test: negative on 15Jan2021 and 20Jan2021, positive on 24Jan2021 and desaturation on 24Jan2021. It was further reported that the evolution was unfavorable and she died on 31Jan2021, no autopsy was performed. Follow-up (23Feb2021): New information from the same contactable physician, downloaded from the Regulatory Authority-WEB ES-AEMPS-729768 includes updated outcome for events vaccination failure and COVID-19 respiratory infection to fatal, death date provided, autopsy details reported, seriousness criterion (death) added for events vaccination failure and COVID-19 respiratory infection. Follow-up attempt are not possible. No expected further information.; Reported Cause(s) of Death: Vaccination failure; COVID-19 respiratory infection


VAERS ID: 1061821 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-01-01
Onset:2021-01-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, General physical health deterioration, SARS-CoV-2 test
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-04
   Days after onset: 34
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: OPSUMIT; UPTRAVI
Current Illness: Mechanical ventilation
Preexisting Conditions: Medical History/Concurrent Conditions: Intubation
Allergies:
Diagnostic Lab Data: Test Name: COVID-19; Result Unstructured Data: Test Result:positive
CDC Split Type: ILPFIZER INC2021188701

Write-up: COVID-19; general deterioration in her health status; Drug ineffective; This is a spontaneous report from contactable consumers and nurse via other company. A 53-year-old female patient received bnt162b2 (Formulation: Solution for injection), via an unspecified route of administration on an unknown date in Jan2021 at single dose for COVID-19 immunisation. Medical history included endotracheal intubation and ongoing mechanical ventilation. Concomitant medication included macitentan (OPSUMIT) at 10mg once a day for pulmonary arterial hypertension, selexipag (UPTRAVI, Strength: 800 ug) at 800 ug, twice a day for pulmonary arterial hypertension. It was reported that patient was vaccinated with the first dose of COVID-19 vaccine and one week after that began general deterioration in her health status on an unknown date in Jan2021. The patient was hospitalised and diagnosed with COVID-19 on 29Jan2021 and shortly after that had severe dyspnea on an unknown date in Jan2021. The patient was intubated and sedated on MV(mechanical ventilation). It was reported that patient was hospitalized since 29Jan2021 until death. The patient died on 04Feb2021. It was not reported if an autopsy was performed. The outcome of the events was fatal. No follow-up attempts are possible, information on batch number cannot be obtained.; Sender''s Comments: Based on the temporal relationship, the association between the event lack of effect (fatal COVID19) with BNT162b2 can not be fully excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: general deterioration in her health status; COVID-19; severe dyspnea


VAERS ID: 1061852 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-01-28
Onset:2021-01-01
Submitted: 0000-00-00
Entered: 2021-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Respiratory disorder, SARS-CoV-2 test
SMQs:, Acute central respiratory depression (broad), Respiratory failure (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-02
   Days after onset: 32
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: Test Date: 20210131; Test Name: COVID-19 virus test; Test Result: Negative
CDC Split Type: NLPFIZER INC2021191346

Write-up: Diagnised by pathologist with COVID-19 but negative test; Respiratory dysfunction; This is a spontaneous report downloaded from the Regulatory Authority-WEB [Lareb (LRB) number NL-LRB-00445009] from a contactable consumer (patient''s daughter or son). An elderly male patient received bnt162b2 (COMIRNATY), via an unspecified route of administration, on 28Jan2021, at single dose, for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient was diagnosed by a pathologist with COVID-19 in Jan2021 but test was negative on 31Jan2021, and experienced respiratory dysfunction in Jan2021. After events onset the patient underwent lab tests and procedures which included COVID-19 virus test: negative on 31Jan2021. The patient died on 02Feb2021. An autopsy was performed and results were not available. Case summary and Reporter comment: My father was vaccinated on 28Jan2021. Sadly died on 02Feb2021 from the effects of the vaccine, he was chronically short of oxygen and his lungs stopped functioning. I have come into conflict with the pathologist who diagnosed COVID-19. What the pathologist didn''t know was that my father had been tested for COVID-19 after the symptoms started. COVID-19 negative test result was on 31Jan2021. The pathologist, after initial doubts, stayed with his diagnosis of COVID-19 and said it was not contagious (unbelievable), I myself warned the nursing home to take measures, but that was according to not need the pathologist. The pathologist himself reported to the nursing home that the investigation was still ongoing (various signals, miscommunication). No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reporter''s Comments: My father was vaccinated on 28Jan2021. Sadly died on 02Feb2021 from the effects of the vaccine, he was chronically short of oxygen and his lungs stopped functioning. I have come into conflict with the pathologist who diagnosed COVID-19. What the pathologist didn''t know was that my father had been tested for COVID-19 after the symptoms started.; Reported Cause(s) of Death: Respiratory dysfunction; Diagnised by pathologist with COVID-19 but negative test


VAERS ID: 1064480 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-01-18
Onset:2021-01-26
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Pneumonia, SARS-CoV-2 test
SMQs:, Eosinophilic pneumonia (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 2021-02-04
   Days after onset: 9
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Below knee amputation
Allergies:
Diagnostic Lab Data: Test Date: 20210126; Test Name: SARS-CoV-2 test; Test Result: Positive
CDC Split Type: CZPFIZER INC2021190786

Write-up: Bilateral pneumonia; COVID-19; This is a spontaneous report from a contactable consumer downloaded from the Regulatory Authority-WEB. This is a report received from the regulatory authority report number is CZ-CZSUKL-21001001. An 88-year-old male patient received the first dose of the bnt162b2 (COMIRNATY), via an unspecified route of administration on 18Jan2021 at a single dose for COVID-19 immunization. The patient''s medical history included below knee amputation on 07Feb2020. Concomitant medications were not reported. On 26Jan2021, the patient experienced COVID-19 (death, hospitalization, medically significant, life threatening). On an unspecified date, the patient experienced bilateral pneumonia (death, hospitalization, medically significant). The patient underwent lab tests and procedures which included SARS-CoV-2 test: positive on 26Jan2021. The clinical outcome of the events: bilateral pneumonia and COVID-19, was fatal. The patient died on 04Feb2021 due to bilateral pneumonia and COVID-19. An autopsy was not performed. No follow-up attempts are possible; information about batch/lot number cannot be obtained. ; Reported Cause(s) of Death: Bilateral pneumonia; COVID-19


VAERS ID: 1065049 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-01-29
Onset:2021-02-06
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6134 / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-12
   Days after onset: 6
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MIDAZOLAM; MORFINE
Current Illness: COPD; Emphysema pulmonary
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210206; Test Name: COVID-19; Result Unstructured Data: Test Result:positive
CDC Split Type: NLPFIZER INC2021191175

Write-up: COVID-19; This is a spontaneous report received from a contactable physician, downloaded from the Regulatory Authority NL-LRB-00444454. A 90-year-old female patient received bnt162b2 (COMIRNATY) (Lot # EJ6134), via an unspecified route of administration at single dose on 29Jan2021 for covid-19 immunisation. Medical history included ongoing chronic obstructive pulmonary disease, ongoing emphysema. Concomitant medication included midazolam, morfine. The patient experienced Covid-19 on 06Feb2021 with fatal outcome. The patient died on 12Feb2021. The patient underwent lab tests and procedures which included sars-cov-2 test: positive on 06Feb2021. It was not reported if an autopsy was performed. The patient died at home using palliative sedation as a result of complications from Covid-19. Unknown if there was a relationship with vaccination with Comirnaty. Clinical course as follows: 5 days after vaccination, the patient experienced symptoms of a Covid-19 infection, 8 days after vaccinations the patient had a positive SARS COV 2 test and 14 days after vaccination the patient deceased with palliative sedation. The patient died of complications of a Covid-19 infection. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: complications of COVID19


VAERS ID: 1065211 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-01-19
Onset:2021-01-25
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6795 / 1 LA / OT

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-11
   Days after onset: 17
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: Medical History/Concurrent Conditions: Anxiodepressive syndrome; Bedridden; Carcinoid tumour (vertex carcinoid, untreated); Cognitive disorder; COVID-19 virus test negative; Disease Parkinson''s; Starvation
Allergies:
Diagnostic Lab Data: Test Date: 20210118; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:negative; Test Date: 20210125; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:positive
CDC Split Type: FRPFIZER INC2021203245

Write-up: COVID-19; This is a spontaneous report from a contactable pharmacist downloaded from the Medicines Agency (MA) regulatory authority-WEB FR-AFSSAPS-LY20210735. A 90-years-old male patient received the first dose of bnt162b2 (COMIRNATY; Lot # EJ6795 ) vaccine , intramuscular in the left arm 19Jan2021 at SINGLE DOSE for covid-19 immunisation . Medical history included mixed anxiety and depressive disorder, cognitive disorder , Parkinson''s disease, starvation , carcinoid tumour (vertex carcinoid, untreated) , Sars-cov-2 test negative on 18Jan2021, bedridden . The patient''s concomitant medications were not reported. On 25Jan2021 during a systematic COVID-19 screening, the patient had a COVID PCR test positive: no symptoms presented to date. On 02Feb2021: the patient presented symptoms such as rapid breathing, fever. he was put under O2. His condition deteriorated rapidly, he presented with dehydration and a back pressure ulcer. On 05Feb2021 comfort care were implemented. On 11Feb2021 the patient died at 8 a.m. The cause of death was Covid-19. Follow up information cannot be obtained. The patient experienced covid-19 (covid-19) (death) on 25Jan2021. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 18Jan2021 , sars-cov-2 test: positive on 25Jan2021 . The action taken in response to the event(s) for bnt162b2 was not applicable. Therapeutic measures were taken as a result of covid-19 (covid-19). The patient died on 11Feb2021. It was not reported if an autopsy was performed.; Reported Cause(s) of Death: Covid-19


VAERS ID: 1065267 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-01-19
Onset:2021-01-25
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-05
   Days after onset: 11
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: Medical History/Concurrent Conditions: Alzheimer''s disease; Memory loss; Comments: Patient has not had symptoms associated with COVID-19 Patient is not enrolled in clinical trial
Allergies:
Diagnostic Lab Data: Test Date: 20210125; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:Positive
CDC Split Type: GBPFIZER INC2021205310

Write-up: positive COVID-19 test; This is a spontaneous report from a contactable consumer received from the regulatory authority. Regulatory authority report number GB-MHRA-WEBCOVID-202102221318192820, Safety Report Unique Identifier GB-MHRA-ADR 24814558. An 84-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration at single dose on 19Jan2021 for covid-19 immunisation . Medical history included amnesia, dementia Alzheimer''s type. Concomitant medications were not reported. The patient experienced positive Covid-19 test on 25Jan2021. The patient died on 05Feb2021. It was not reported if an autopsy was performed. The patient had not had symptoms associated with COVID-19. The patient was not enrolled in a clinical trial. The reporter stated that: "My father was ok leading up to the vaccine he was quiet and tired due to boredom of being locked away in a care home unable to see relatives frequently or go outside and live a normal life". No follow-up attempts possible; information regarding batch/lot cannot be obtained; No further information expected.; Reported Cause(s) of Death: COVID-19


VAERS ID: 1065274 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2020-12-16
Onset:2021-01-11
   Days after vaccination:26
Submitted: 0000-00-00
Entered: 2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Diarrhoea, Drug ineffective, SARS-CoV-2 test
SMQs:, Lack of efficacy/effect (narrow), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-21
   Days after onset: 10
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: ALFUZOSIN; OMEPRAZOLE; PROPRANOLOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Colon cancer; Interstitial lung disease; Whipple''s disease; Comments: Patient is not enrolled in clinical trial
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:Yes - Positive COVID-19 test
CDC Split Type: GBPFIZER INC2021210283

Write-up: patient was admitted to the hospital; drug ineffective; SARS-CoV-2 infection; This is a spontaneous report from a contactable Physician. This is a report received from the MHRA. Regulatory authority report number GB-MHRA-ADR 24820376, Safety Report Unique Identifier GB-MHRA-WEBCOVID-202102231206328040. An 85 years old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) on 16Dec2020 at single dose via an unspecified route of administration for COVID-19 immunization. Relevant medical history included Interstitial lung disease, colon cancer on Mar2008, Whipple''s disease. Concomitant medications included alfuzosin, omeprazole and propranolol. On an unspecified date patient had acute diarrhea and was admitted to the hospital. On 11 Jan2021 SARS-CoV-2 infection occurred. Vaccine breakthrough infection (as reported). SARS-CoV-2 test was positive on an unspecified date. On 21Jan2021 the patient died due to Covid 19. Outcome of reported acute diarrhea at time of death was unknown. It was unknown if an autopsy was performed. No follow-up attempts possible; information regarding batch/lot cannot be obtained; No further information expected.; Reported Cause(s) of Death: COVID-19


VAERS ID: 1065562 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated:2021-01-13
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, General physical health deterioration, SARS-CoV-2 test positive
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-30
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: Test Name: Nasopharyngeal pcr test; Test Result: Positive
CDC Split Type: BEPFIZER INC2021181924

Write-up: Drug ineffective; Nasopharyngeal pcr test on the 21st, which came back positive; Degradation of general condition; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB BE-FAMHP-DHH-N2021-76426, received from Regulatory Authority. An elderly patient of unspecified gender received BNT162B2 (COMIRNATY) via an unspecified route of administration on 13Jan2021 at single dose for COVID-19 immunisation. Medical history and concomitant mediations were unknown. The patient experienced COVID-19 virus test positive and degradation of general condition. The patient had nasopharyngeal pcr test on the 21st (unspecified date), which came back positive. The patient died on 30Jan2021. It was unknown if autopsy was performed. Outcome of the events was fatal. No follow-up attempts are possible, information on lot/batch number cannot be obtained.; Reported Cause(s) of Death: Drug ineffective; Nasopharyngeal pcr test on the 21st, which came back positive; degradation of general condition


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