National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 10/8/2021 release of VAERS data:

This is VAERS ID 1235265



Case Details

VAERS ID: 1235265 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-04-06
Onset:2021-04-07
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Electrocardiogram, Laboratory test, Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-01
   Days after onset: 6
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ACTRAPID; ATORVASTATIN; METOPROLOL
Current Illness: Coronary disease
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: ECG; Result Unstructured Data: Test Result:unknown results; Test Name: lab; Result Unstructured Data: Test Result:unknown results
CDC Split Type: NLPFIZER INC2021409162

Write-up: Myocardial infarction; This is a spontaneous report from a contactable physician downloaded from the regulatory authority, regulatory authority number NL-LRB-00502948. A 74-year-old male patient received the first dose of BNT162B2 (COMIRNATY), intramuscularly on 06Apr2021 (Batch/Lot number was not reported) as single dose for COVID-19 immunisation. Medical history included ongoing Coronary disease. Concomitant medications included insulin (ACTRAPID), atorvastatin and metoprolol. The patient experienced myocardial infarction on 07Apr2021. The event was reported as serious with serious criteria death. The patient underwent lab tests and procedures which included electrocardiogram (ECG): unknown results on unknown date, laboratory test: unknown results on unknown date. Therapeutic measures were taken as a result of myocardial infarction included treated with medications according to a protocol. The patient died on Apr2021. It was not reported if an autopsy was performed. Reporter''s Comments: BioNTech / Pfizer vaccine (Comirnaty), Past drug therapy BioNTech / Pfizer vaccine (Comirnaty): no. BSN available: yes. Confounding factors: Coronary suffering. Previous COVID-19 infection: No. Other diagnostic procedures: ECG, lab. No follow-up attempts are possible, information on batch number cannot be obtained.; Reporter''s Comments: BioNTech / Pfizer vaccine (Comirnaty), Past drug therapy BioNTech / Pfizer vaccine (Comirnaty): no. BSN available: yes. Confounding factors: Coronary suffering. Previous COVID-19 infection: No. Other diagnostic procedures: ECG, lab.; Reported Cause(s) of Death: Myocardial infarction


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1235265

Government Disclaimer on use of this data


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