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 1225069

Case Details

VAERS ID: 1225069 (history)  
Form: Version 2.0  
Sex: Female  
Location: Foreign  
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Tachycardia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-17
   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: Medical History/Concurrent Conditions: Auricular fibrillation; Gout; Hypothyroidism; Infarct myocardial
Diagnostic Lab Data:
CDC Split Type: FRPFIZER INC2021398740

Write-up: Tachycardia, death; This is a spontaneous report from a contactable Consumer downloaded from a regulatory authority-WEB FR-AFSSAPS-BR20211119 and received via a pharmaceutical company. A 85-years-old female patient received first dose of bnt162b2 (COMIRNATY, Batch/Lot Number: Unknown), intramuscular on 14Mar2021 as single dose for COVID-19 immunization. Medical history included Gout, Hypothyroidism, Auricular fibrillation from Aug2017, Infarct myocardial from Jan2017. The patient''s concomitant medications were not reported. The patient experienced tachycardia, death (fatal tachycardia) on 17Mar2021. The patient died on 17Mar2021. An autopsy was not performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained. ; Reported Cause(s) of Death: Tachycardia, death

New Search

Link To This Search Result:

Government Disclaimer on use of this data

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