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This is VAERS ID 1322661

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1322661
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2021-04-03
Submitted:0000-00-00
Entered:2021-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Concomitant disease aggravated, Dyspnoea, Pyrexia, Somnolence

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? No
Previous Vaccinations:
Other Medications:
Current Illness: Dyspnoea; Pyrexia; Somnolence
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': AUPFIZER INC2021531982

Write-up: Concomitant disease aggravated; Dyspnoea; Pyrexia; Somnolence; This is a spontaneous report from a contactable other health professional via the Regulatory Authority. Regulatory authority report number is 548356. A 69-years-old male patient received bnt162b2 (COMIRNATY), via an unspecified route of administration on an unspecified date (Batch/Lot number was not reported) as unknown single dose for covid-19 immunisation. Medical history included ongoing dyspnoea, ongoing pyrexia, ongoing somnolence. The patient''s concomitant medications were not reported. The patient experienced concomitant disease aggravated, dyspnoea, pyrexia, somnolence on 03Apr2021. The medicine onset time in days was reported as 3 days. The patient died on an unspecified date. It was not reported if an autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: Concomitant disease aggravated; Dyspnoea; Pyrexia; Somnolence

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