National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 10/8/2021 release of VAERS data:

This is VAERS ID 1114025



Case Details

VAERS ID: 1114025 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-03-03
Onset:2021-03-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP2163 / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Cardio-respiratory arrest, Choking, Nausea
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Respiratory failure (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-03
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Alzheimer''s disease; Bedridden; Fibrillation atrial; Parkinson''s disease; Comments:
Allergies:
Diagnostic Lab Data:
CDC Split Type: ESPFIZER INC2021272270

Write-up: Choking; Cardio-respiratory arrest; Churning of stomach; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority ES-AEMPS-781793. A 93-years-old female patient received bnt162b2 (COMIRNATY, Batch/Lot Number: EP2163), intramuscular on 03Mar2021 as single dose for Covid-19 immunisation. Medical history included: Bedridden since a month ago, Parkinson''s disease, atrial fibrillation, dementia Alzheimer''s type . The patient''s concomitant medications were not reported. On 03Mar2021 the patient died from choking , cardio-respiratory arrest , churning of stomach . It was not reported if an autopsy was performed. Course of the event On March 3, she gets the 1st dose of Pfizer vaccine. 2 hours later, while eating, the patient died suddenly. Additional info: they warn by syncope that does not respond. Bedridden life for a month. Alzheimer''s dementia. At 2:30 p.m. he has choked and had nausea without vomiting and has been left unresponsive. Very slow breathing. He has not responded for 10 minutes. Upon arrival at home, the patient was in cardiorespiratory arrest. The reporting physician did not start maneuvers for his baseline situation. They had vaccinated him this morning. The reporting physician thinks the cause was choking Follow up information has been requested.; Reported Cause(s) of Death: Choking; Cardio - respiratory arrest; Nausea


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1114025

Government Disclaimer on use of this data


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