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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EK9788 / 2||- / OT|
Administered by: Other Purchased by: ??
Symptoms: Circulatory collapse, Peripheral vascular disorder, Vomiting
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Preexisting Conditions: Medical History/Concurrent Conditions: Cardiac insufficiency; Coronary heart disease; Gastrointestinal haemorrhage
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021097692
Write-up: Vomiting; Circulatory collapse; hypotonic circulatory failure; This is a spontaneous report from a non-contactable physician downloaded from the Medicines (MA) Regulatory Authority-WEB Regulatory Authority number DE-PEI-PEI2021001758. A 91-year-old female patient received her second dose of bnt162b2 (COMIRNATY, batch/lot no.: EK9788), intramuscular on 20Jan2021 at single dose for COVID-19 immunization. Medical history included gastrointestinal haemorrhage from 2020, coronary artery disease, Cardiac insufficiency. The patient''s concomitant medications were not reported. The patient previously took her first dose of Comirnaty on 28Dec2020 for COVID-19 immunization and experienced no adverse reaction. 1 day after vaccination on 21Jan2021, the patient developed vomiting and circulatory disorder peripheral and hypotonic circulatory failure, lasting for 4 hour(s). The patient was dead. Death cause was reported as Circulatory failure. The patient died on 21Jan2021. It was unknown if an autopsy was performed. Comirnaty/Vomiting, Circulatory disorder peripheral, Circulatory failure/Regulatory Authority/D. Unclassifiable.; Reported Cause(s) of Death: Circulatory failure; Vomiting; Circulatory disorder peripheral
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