Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EM0477 / 1||- / -|
Administered by: Other Purchased by: ??
Symptoms: COVID-19, Coronavirus test
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
Diagnostic Lab Data: Test Date: 20210105; Test Name: Coronavirus rapid test; Test Result: Positive
CDC 'Split Type': DEPFIZER INC2021165112
Write-up: Coronavirus infection identified via quick test; This is a spontaneous report based on information received by Pfizer from Biontech [manufacturer control number:15873] from a non-contactable consumer, license party for Comirnaty. A patient about 91-year-old of an unspecified gender received 1st dose of bnt162b2 (COMIRNATY, lot: EM0477), via an unspecified route of administration on 31Dec2020 at single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient had a positive COVID 19 quick test on 05Jan2021. The patient died on 15Jan2021. It was unknown if autopsy was done or not. Outcome of positive COVID 19 quick test was fatal. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: Linked Report(s) : DE-PFIZER INC-2021165108 PFIZER INC; Reported Cause(s) of Death: Coronavirus infection identified via quick test
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166