National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1211907

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1211907
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-02-01
Onset:2021-02-01
Submitted:0000-00-00
Entered:2021-04-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL 1484 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Myocardial infarction, Angiocardiogram

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: TIA
Allergies:
Diagnostic Lab Data: Test Name: coronary x-ray; Result Unstructured Data: Test Result:UNKNOWN
CDC 'Split Type': SEPFIZER INC2021380325

Write-up: heart attack/MYOCARDIAL INFARCTION; This is a spontaneous report from a contactable consumer downloaded from a regulatory authority-WEB. Regulatory Authority report number is SE-MPA-2021-021846. A 97-year-old female patient received second dose of bnt162b2 (COMIRNATY), via an unspecified route of administration in Feb2021 (Batch/Lot Number: EL 1484) as SINGLE DOSE for covid-19 immunization. Medical history included TIA (transient ischaemic attack) from 2014. The patient previously received the 1st dose of COMIRNATY (lot:EL 1484) for covid-19 immunization. The patient''s concomitant medications included blood pressure medications (not specified). The reporter stated that the patient was healthy for her age, managed to walk to the vaccinations 1.4 km both times. Four days after her 2nd vaccination (Feb2021), the patient had a heart attack/myocardial infarct and after about a week of hospitalization, the woman had another heart attack and died. The patient underwent lab tests and procedures which included coronary x-ray: with unknown results;it was decided that a pacemaker would be inserted after her second heart attack but patient died. It was reported that patient received a treatment due to the event. It was not reported if an autopsy was performed. The event was assessed as "serious, causing patient''s death". No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: heart attack/MYOCARDIAL INFARCTION

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1211907&WAYBACKHISTORY=ON

Government Disclaimer on use of this data


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