National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1044950

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1044950
VAERS Form:2
Age:62.0
Sex:Male
Location:Foreign
Vaccinated:2021-02-04
Onset:2021-02-04
Submitted:0000-00-00
Entered:2021-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1491 / UNK - / OT

Administered by: Other      Purchased by: ??
Symptoms: Cardiac failure, Left ventricular failure

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-01
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:
CDC 'Split Type': DEPFIZER INC2021160519

Write-up: Decompensation cardiac; Failure heart left; This is a spontaneous report from a non-contactable physician downloaded from the Agency Regulatory Authority-WEB DE-PEI-PEI2021002453. A male patient of an unspecified age received bnt162b2 (COMIRNATY) batch no.: EL1491, subcutaneous on 04Feb2021 at single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously took bnt162b2 (COMIRNATY) for covid-19 immunisation on 14Jan2021. On the same day after vaccination (04Feb2021) the patient developed Failure heart left and Decompensation cardiac, lasting for 3 day(s). The patient is dead. The patient died in Feb2021. It was not reported if an autopsy was performed. No follow-up attempts are needed. No further information is expected.; Reported Cause(s) of Death: Failure heart left; Decompensation cardiac

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1044950&WAYBACKHISTORY=ON

Government Disclaimer on use of this data


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166