National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1225028

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1225028
VAERS Form:2
Age:90.0
Sex:Male
Location:Foreign
Vaccinated:2021-02-26
Onset:2021-03-03
Submitted:0000-00-00
Entered:2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Cerebral haemorrhage

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-25
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? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021398819

Write-up: Cerebral haemorrhage; This is a spontaneous report from a non-contactable physician downloaded from a regulatory authority-WEB DE-PEI-202100032189. A 90-year-old male patient received bnt162b2 (COMIRNATY; lot number and expiration date unspecified), via an unspecified route of administration on 26Feb2021 as 0.3 mL, single for COVID-19 immunisation. Medical history was not reported. There were no concomitant medications. On 03Mar2021, the patient experienced cerebral haemorrhage. The patient died on 25Mar2021 due to the event. It was not reported if an autopsy was performed. Relatedness of drug to reaction(s)/event(s) Source of assessment PEI Result of Assessment D. Unclassifiable No follow-up attempts are possible, information on batch/lot number cannot be obtained.; Reported Cause(s) of Death: Cerebral haemorrhage

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1225028&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