National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1061853

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1061853
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-02-04
Onset:2021-02-07
Submitted:0000-00-00
Entered:2021-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM0477 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Computerised tomogram, Ischaemic cerebral infarction, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-08
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: IMODIUM; IPRAMOL; ITRACONAZOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Autism; Mental disability
Allergies:
Diagnostic Lab Data: Test Name: CT-scan; Result Unstructured Data: Test Result:showed a major ischemic stroke; Test Date: 20210201; Test Name: COVID-19 test; Test Result: Negative
CDC 'Split Type': NLPFIZER INC2021191170

Write-up: Received 1st vaccination on 04Feb. Found on 07Feb morning with ischemic cardiovascular accidennt, died of it; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB [NL-LRB-00445065 ]. A 65-years-old male patient received the first dose of bnt162b2 (COMIRNATY; Lot # EM0477) vaccine , via an unspecified route of administration on 04Feb2021 at single dose for covid-19 immunisation . Medical history included autism spectrum disorder, mental disability. Concomitant medication included loperamide hydrochloride (IMODIUM), ipratropium bromide, salbutamol sulfate (IPRAMOL), itraconazol (ITRACONAZOL). The patient received 1st vaccination on 04Feb2020. found on 07Feb2020 morning with ischemic cardiovascular accidennt, on 07Feb2021. The patient underwent lab tests and procedures which included computerised tomogram: showed a major ischemic stroke, sars-cov-2 test: negative on 01Feb2021. The patient died on 08Feb2021 because of the event. It was not reported if an autopsy was performed. Course of the event Hemiparesis on the left with among other things compulsive head. Large ischemic CVA on CT on the right. Unable to eat and died in hospital on 08Feb2021. Patient was severely mentally disabled with autism. One month before, Covid had prevailed in his group home, the patient himself was not infected. He had a fever on the evening of 01Feb2021, was then tested for Covid, was negative. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: large ischemic stroke

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1061853&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