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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||- / 2||- / -|
Administered by: Other Purchased by: ??
Symptoms: Vaccination failure, COVID-19, SARS-CoV-2 test
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
Hospitalized? Yes, days:
Write-up: COVID-19 infection; COVID-19 infection; This is a spontaneous report from a contactable physician downloaded from a regulatory authority. Regulatory Authority Report Number : SE-MPA-2021-019700. Worldwide unique case identification number: SE-MPA-1615907429753. A 72-year-old male patient received bnt162b2 (COMIRNATY), dose 2 via an unspecified route of administration on 18Feb2021 (Batch/Lot number was not reported) as a single dose and dose 1 via an unspecified route of administration on 19Jan2021 (Batch/Lot number was not reported) as a single dose for COVID-19 immunization. Medical history included schizoaffective disorder, renal failure and possibly an undiagnosed hematological disease. Concomitant medications included haloperidol (HALDOL), metoprolol, furosemide (FURIX), valproate sodium, valproic acid (ERGENYL RETARD), folacin [folic acid], alimemazine tartrate (THERALEN), loperamide hydrochloride (DIMOR), cyanocobalamin (BETOLVIDON), zopiclone, acetylsalicylic acid (TROMBYL), olanzapine, prednisolone, sodium fluoride (DENTAN), omeprazole, amlodipine, melatonin. The patient experienced COVID-19 infection on 13Mar2021. The patient was vaccinated with Comirnaty on 19Jan2021 and 18Feb2021. The patient fell ill with subfebrility, cough, fell, and had elevated inflammatory parameters on 13Mar2021. Patient tested positive to COVID-19 PCR test in the emergency department. The patient was cared for in hospital and had a low need for oxygen. The patient deteriorated respiratory and later died at the hospital. The reporter states that they have not received any answer as to what type of COVID-19 the patient had. Outcome: Fatal. Report assessed as serious: death, hospitalization. It was unknown if an autopsy was performed. No follow-up attempts are possible, information on batch number cannot be obtained.; Reported Cause(s) of Death: COVID-19; COVID-19
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