National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1099568

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1099568
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Aspiration, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-12
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: Medical History/Concurrent Conditions: Asthma; House dust mite allergy
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021250304

Write-up: Death; Aspiration; This is a spontaneous report from a non-contactable physician. This is a report received from the regulatory authority-WEB. Regulatory authority or other manufacturer number DE-DCGMA-21188243. A 32-year-old male patient received first dose of BNT162B2 (COMIRNATY, Solution for injection, lot/batch number not provided), via an unspecified route of administration on 12Feb2021(at 32-year-old)at single dose for COVID-19 immunisation. Medical history included: Asthma, House dust mite allergy, both were unknown if ongoing. The patient''s concomitant medications were not reported. 13 hours after vaccination (12Feb2021) the patient developed Aspiration and Death, lasting for unknown. The patient is dead on 12Feb2021. Death cause was reported as Aspiration. An autopsy was performed and results were not provided. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Aspiration

New Search

Link To This Search Result:

Government Disclaimer on use of this data

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