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||- / 1||- / -|
Administered by: Other Purchased by: ??
Symptoms: Death, Depressed level of consciousness, Oral discharge, SARS-CoV-2 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
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Subarachnoid haemorrhage (7 + years ago required full care however had been medically well for several years.); Comments: Patient had a SAH 7 + years ago required full care however had been medically well for several years. Patient had COVID in Jan 2020 caught in a care home. Patient has not had symptoms associated with COVID-19 Patient is not enrolled in clinical trial
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC2021238920
Write-up: Death NOS; Symptoms included an increase in Oral secretions and a reduction in alertness.; Symptoms included an increase in Oral secretions and a reduction in alertness.; This is a spontaneous report from a contactable other HCP. This is a report received from the Regulatory Agency RA)(. Regulatory authority report number GB-MHRA-WEBCOVID-202103031027278470, Safety Report Unique Identifier GB-MHRA-ADR 24867272. A 71-year-old female patient received the first dose of BNT162B2 (P FIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration on 08Feb2021 at single dose for COVID-19 immunisation. Medical history included subarachnoid haemorrhage (7 + years ago required full care however had been medically well for several years) and COVID in Jan2020 (the patient had COVID in Jan2020 caught in a care home.) The patient has not had symptoms associated with COVID-19. Patient was not enrolled in clinical trial. The patient''s concomitant medications were not reported. The patient was vaccinated on Monday 08Feb2021 and she had a slow deterioration over the week. The patient had complex care needs however she was medically well and being looked after at home. Symptoms included an increase in oral secretions and a reduction in alertness. The outcome of oral secretions and a reduction in alertness was unknown. The patient died on 14Feb2021. The cause of death was not reported; it was unknown if an autopsy was performed. Patient has not tested positive for COVID-19 since having the vaccine. No follow-up attempts are possible, information about batch/lot number cannot be obtained.; Reported Cause(s) of Death: Death NOS
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166