Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||ER7812 / 2||LA / OT|
Administered by: Other Purchased by: ??
Symptoms: Renal failure, Respiratory failure
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:
Write-up: respiratory failure; kidney failure; This is a spontaneous report from a contactable physician downloaded from the Agency-WEB, regulatory authority number PL-URPL-3-704-2021. A 76-year-old male patient received bnt162b2 (COMIRNATY, solution for injection), intramuscular, administered in the left arm on 12Mar2021 12:22 (batch/lot number ER7812 and expiry date 16Mar2021) at 76 years of age as dose 2, 0.3 ml single for covid-19 immunization. The patient''s medical history and concomitant medications were not reported. On 14Mar2021 11:00, the patient experienced respiratory failure, kidney failure. The physician informed that the patient died on 14Mar2021 at 11:00 am in hospital; renal failure, respiratory failure. The health outcome was death. The events were also reported serious (hospitalization). The patient died on 14Mar2021 at 11:00 am. It was unknown if an autopsy was performed. Sender''s comments: death occurred on day 2 after vaccination. No information was available on the patient''s medical history. URPL requested additional information. There is a temporal relationship between vaccination and adverse events. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: respiratory failure; kidney failure
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166