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||UNKNOWN / 1||- / OT|
Administered by: Other Purchased by: ??
Symptoms: Respiratory failure
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
Current Illness: Lung cancer
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021317258
Write-up: Respiratory failure; This is a spontaneous report received from a non-contactable physician downloaded from the regulatory authority-WEB. The regulatory authority report number is DE-PEI-PEI2021003607. A 66-year-old male patient received first dose of bnt162b2 (COMIRNATY), via intramuscular on 17Mar2021 (Batch/Lot Number: Unknown) as single dose for covid-19 immunisation. Medical history included ongoing palliative situation with lung cancer (CA). The patient''s concomitant medications were not reported. On the same day after vaccination the patient developed respiratory insufficiency, lasting for unknown. The patient died on 17Mar2021. Death cause was reported as respiratory failure. It was not reported if an autopsy was performed. Relatedness of drug to event assessed by PEI as indeterminate. No Follow-Up attempts are possible, information about batch number cannot be obtained.; Reporter''s Comments; Reported Cause(s) of Death: Respiratory failure
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166