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This is VAERS ID 1044939

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1044939
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-22
Onset:2021-01-24
Submitted:0000-00-00
Entered:2021-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6134 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Sudden death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-24
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: ELIQUIS; BETAHISTINE; CITALOPRAM; SPIRONOLACTONE; ESCITALOPRAM; AMIODARONE; OMEPRAZOLE; VISTA CAL D
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Atrial fibrillation (requiring anticoagulants)
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': BEPFIZER INC2021158450

Write-up: Sudden death without known cause on 24/01/2021; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB (BE-FAMHP-DHH-N2021-76192). A 95-year-old female patient received the first dose of BNT162B2 (COMIRNATY; Lot number: EJ6134), via an unspecified route of administration, on 22Jan2021 at a single dose for COVID-19 immunisation. Medical history included atrial fibrillation (requiring anticoagulants). Concomitant medications included apixaban (ELIQUIS), betahistine (MANUFACTURER UNKNOWN), citalopram (MANUFACTURER UNKNOWN), spironolactone (MANUFACTURER UNKNOWN), escitalopram (MANUFACTURER UNKNOWN), amiodarone (MANUFACTURER UNKNOWN), omeprazole (MANUFACTURER UNKNOWN), and calcium, colecalciferol (VISTA CAL D) taken as nutritional supplement. The patient experienced sudden death without known cause on 24/01/2021 (on 24Jan2021). It was reported that the patient was previously in good health. The patient died on 24Jan2021. The cause of death was reported as sudden death without known cause. It was not reported if an autopsy was performed. The causality assessment to the event was reported as unclassified by the Agency. No follow-up attempts possible. No further information expected.; Reporter''s Comments: Treatment - Evolution of the ADR - Died Previously in good health, history of atrial fibrillation requiring anticoagulants; Reported Cause(s) of Death: Sudden death without known cause

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1044939&WAYBACKHISTORY=ON

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