National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1432684

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1432684
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Pulmonary embolism

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: TROMBYL
Current Illness: Arthrosis; Overweight
Preexisting Conditions: Medical History/Concurrent Conditions: Transient ischaemic attack
Diagnostic Lab Data:
CDC 'Split Type': SEPFIZER INC2021752346

Write-up: pulmonary embolism; This is a spontaneous report from a contactable consumer downloaded from the Regulatory Authority-WEB SE-MPA-2021-046868. A 76-year-old female patient received second dose of BNT162B2 (COMIRNATY, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on May2021 (at unknown age) as single dose for COVID-19 immunisation. Medical history included Arthrosis ongoing, Overweight ongoing, TIA-Transient ischaemic attack. Concomitant medication included acetylsalicylic acid (TROMBYL). The patient previously took first dose of BNT162B2 (COMIRNATY, Solution for injection, Batch/Lot number was not reported) as single dose for COVID-19 immunisation. Report from a consumer regarding a 76-year-old female. Reported suspect vaccine was COMIRNATY dose 2 (covid-19 vaccines). Reported suspect adverse event was Pulmonary embolism on May2021. The reporter states in accordance with the autopsy report that pulmonary embolism was the cause of Death. Report assessed as serious, death. The man died on unknown date 14 days after receiving dose two. The patient died on an unspecified date. An autopsy was performed that revealed pulmonary embolism. No follow-up attempts are possible; information about lot/batch number cannot be obtained. ; Reported Cause(s) of Death: Pulmonary embolism; Autopsy-determined Cause(s) of Death: Pulmonary embolism

New Search

Link To This Search Result:

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