National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 10/15/2021 release of VAERS data:

This is VAERS ID 1202898



Case Details

VAERS ID: 1202898 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-03-25
Onset:2021-03-28
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ET3674 / 1 LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Dizziness
SMQs:, Anticholinergic syndrome (broad), Vestibular disorders (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-28
   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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PLPFIZER INC2021380208

Write-up: Dizziness; This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority-WEB, regulatory authority number PL-URPL-3-473-2021. A male patient of an unspecified age received bnt162b2 (COMIRNATY), dose 1 intramuscular, administered in Arm Left on 25Mar2021 11:50 (Batch/Lot Number: ET3674) as 0.3 mL, single for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. On 28Mar2021 20:30, the Emergency Medical Team was called due to dizziness. On arrival, the patient deteriorated, resuscitation was started and a doctor was called to declare death. The patient died on 28Mar2021. It was not reported if an autopsy was performed. Sender Comment: Comirnaty- COVID-19 vaccine (mRNA). Dizziness is an unexpected adverse reaction for this vaccine. It is not possible to address the cause of death without knowing the patient''s medical history. Regulatory Authority has requested supplementary information. There is a temporal relationship between vaccination and the occurrence of adverse reactions and death. The reporter classified the ADR as severe. Regulatory Authority assessed the ADR as severe. Relatedness of drug to reaction(s)/event Source of assessment Method of assessment WHO scale Result of Assessment Conditional No follow-up attempts possible. No further information expected; Reported Cause(s) of Death: dizziness


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1202898

Government Disclaimer on use of this data


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