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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||- / UNK||- / -|
Administered by: Other Purchased by: ??
Symptoms: Upper gastrointestinal haemorrhage
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
Other Medications: BEHEPAN [CYANOCOBALAMIN]; ENALAPRIL; ESOMEPRAZOLE; KALCIPOS-D; FURIX [FUROSEMIDE]; XARELTO; DUROFERON; METOPROLOL
Preexisting Conditions: Medical History/Concurrent Conditions: Atrial fibrillation; Cardiac failure; Cognitive impairment; Hypertension; Ulcer stomach (past ulcer x 2)
Diagnostic Lab Data:
CDC 'Split Type': SEPFIZER INC2021118996
Write-up: ACUTE Upper gastrointestinal bleeding; This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority-WEB, regulatory authority number SE-MPA-1611914132186. A 95-year-old female patient received BNT162B2 (COMIRNATY), via unspecified route in Jan2021 at 0,3ml single dose for COVID-19 immunization. Concomitant medications were cyanocobalamin (BEHEPAN), ferrous sulfate (DUROFERON), furosemide (FURIX), calcium carbonate, colecalciferol (KALCIPOS-D), rivaroxaban (XARELTO), enalapril, esomeprazole, metoprolol. The patient''s medical history and concurrent conditions included: Cognitive impairment, Hypertension, Ulcer stomach, Cardiac failure, Atrial fibrillation. On unknown date in Jan2021 the patient experienced acute Upper gastrointestinal bleeding and died. The woman has been found lifeless in her bed in the morning the day after the vaccination. Fresh black blood in the oral cavity that had run out on the blanket. Death was confirmed during a home visit by the reporter. No follow-up attempts possible. No further information expected. Lot/batch number was not provided and unable to obtain ; Reported Cause(s) of Death: Upper gastrointestinal bleeding
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