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This is VAERS ID 1035549

History of Changes from the VAERS Wayback Machine

First Appeared on 3/5/2021

VAERS ID: 1035549
VAERS Form:2
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Blood bilirubin, Blood osmolarity, Blood urea, Monocyte count, Platelet count, Thrombocytopenia, Blood pressure measurement

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: blood bilirubin; Result Unstructured Data: Test Result:1.50; Test Name: osmolality; Result Unstructured Data: Test Result:297; Test Name: blood pressure; Result Unstructured Data: Test Result:159/106; Test Name: Blood urea (BUN); Result Unstructured Data: Test Result:22.3; Test Name: monocytes; Test Result: 12.1 %; Test Name: platelet count; Result Unstructured Data: Test Result:Thrombocytopenia; Test Date: 20201221; Test Name: platelet count; Result Unstructured Data: Test Result:platelet count decreased again to 0
CDC 'Split Type': USPFIZER INC2021144615

Write-up: Thrombocytopenia; This is a spontaneous report from a contactable consumer (patient''s wife). A male patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced thrombocytopenia on an unspecified date, the seriousness of the event reported as death. The patient died two weeks after receiving a COVID-19 vaccine. Patient''s wife said that he died from a condition known as thrombocytopenia, marked by a shortage of the blood platelets that help stop bleeding, after he received BNT162B2. The patient underwent lab tests and procedures which included blood bilirubin: 1.50, blood osmolarity: 297, blood pressure measurement: 159/106, blood urea: 22.3, monocyte count: 12.1 %, platelet count: thrombocytopenia, platelet count: platelet count decreased again to 0 on 21Dec2020. The patient died on an unspecified date. It was unknown if an autopsy was performed. The outcome of the events was fatal. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Thrombocytopenia


Changed on 5/7/2021

VAERS ID: 1035549 Before After
VAERS Form:2
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Blood bilirubin, Blood osmolarity, Blood urea, Monocyte count, Platelet count, Thrombocytopenia, Blood pressure measurement

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: blood bilirubin; Result Unstructured Data: Test Result:1.50; Test Name: osmolality; Result Unstructured Data: Test Result:297; Test Name: blood pressure; Result Unstructured Data: Test Result:159/106; Test Name: Blood urea (BUN); Result Unstructured Data: Test Result:22.3; Test Name: monocytes; Test Result: 12.1 %; Test Name: platelet count; Result Unstructured Data: Test Result:Thrombocytopenia; Test Date: 20201221; Test Name: platelet count; Result Unstructured Data: Test Result:platelet count decreased again to 0
CDC 'Split Type': USPFIZER INC2021144615

Write-up: Thrombocytopenia; This is a spontaneous report from a contactable consumer (patient''s wife). A male patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced thrombocytopenia on an unspecified date, the seriousness of the event reported as death. The patient died two weeks after receiving a COVID-19 vaccine. Patient''s wife said that he died from a condition known as thrombocytopenia, marked by a shortage of the blood platelets that help stop bleeding, after he received BNT162B2. The patient underwent lab tests and procedures which included blood bilirubin: 1.50, blood osmolarity: 297, blood pressure measurement: 159/106, blood urea: 22.3, monocyte count: 12.1 %, platelet count: thrombocytopenia, platelet count: platelet count decreased again to 0 on 21Dec2020. The patient died on an unspecified date. It was unknown if an autopsy was performed. The outcome of the events was fatal. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Thrombocytopenia


Changed on 5/14/2021

VAERS ID: 1035549 Before After
VAERS Form:2
Age:
Sex:Male
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Blood bilirubin, Blood osmolarity, Blood urea, Monocyte count, Platelet count, Thrombocytopenia, Blood pressure measurement

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: blood bilirubin; Result Unstructured Data: Test Result:1.50; Test Name: osmolality; Result Unstructured Data: Test Result:297; Test Name: blood pressure; Result Unstructured Data: Test Result:159/106; Test Name: Blood urea (BUN); Result Unstructured Data: Test Result:22.3; Test Name: monocytes; Test Result: 12.1 %; Test Name: platelet count; Result Unstructured Data: Test Result:Thrombocytopenia; Test Date: 20201221; Test Name: platelet count; Result Unstructured Data: Test Result:platelet count decreased again to 0
CDC 'Split Type': USPFIZER INC2021144615

Write-up: Thrombocytopenia; This is a spontaneous report from a contactable consumer (patient''s wife). A male patient of unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on an unspecified date at single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient experienced thrombocytopenia on an unspecified date, the seriousness of the event reported as death. The patient died two weeks after receiving a COVID-19 vaccine. Patient''s wife said that he died from a condition known as thrombocytopenia, marked by a shortage of the blood platelets that help stop bleeding, after he received BNT162B2. The patient underwent lab tests and procedures which included blood bilirubin: 1.50, blood osmolarity: 297, blood pressure measurement: 159/106, blood urea: 22.3, monocyte count: 12.1 %, platelet count: thrombocytopenia, platelet count: platelet count decreased again to 0 on 21Dec2020. The patient died on an unspecified date. It was unknown if an autopsy was performed. The outcome of the events was fatal. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Thrombocytopenia

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