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This is VAERS ID 1113851

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1113851
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-02-18
Onset:2021-02-22
Submitted:0000-00-00
Entered:2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Dyspnoea, Pneumonia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: GLICLAZIDE; MACROGOL; TEMAZEPAM; CALCIUMCARBONAAT; ENALAPRIL; METFORMIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': NLPFIZER INC2021256535

Write-up: Pneumonia; Dyspnoea; This is a spontaneous report downloaded from the regulatory authority-WEB NL-LRB-00460560. A contactable physician reported that a 87-years-old female patient started to receive bnt162b2 (COMIRNATY), via an unspecified route of administration on 18Feb2021 at 1 DF, single for covid-19 immunisation. The patient medical history was not reported. Concomitant medication included gliclazide (GLICLAZIDE), macrogol (MACROGOL), temazepam (TEMAZEPAM), calciumcarbonaat (CALCIUMCARBONAAT), enalapril (ENALAPRIL), metformin (METFORMIN). The patient experienced dyspnoea on 22Feb2021, pneumonia on an unspecified date on 25Feb2021. The patient died from the events on an unknown date. It was not reported if an autopsy was performed. Dyspnoea started 4 days after vaccination, 7 days after vaccination the dyspnoea worsened and the patient developed pneumonia. The decision was made to not treat the pneumonia and to start palliative sedation. No follow-up attempts are possible; information about lot/batch number cannot be obtained; Reported Cause(s) of Death: Dyspnea; pneumonie

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