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This is VAERS ID 1435441

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1435441
VAERS Form:2
Age:60.0
Sex:Male
Location:Foreign
Vaccinated:2021-06-07
Onset:2021-06-11
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Acute myocardial infarction

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-11
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:
Preexisting Conditions: Medical History/Concurrent Conditions: Diabetes mellitus; Hyperlipidaemia; Hypertension
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': JPPFIZER INC2021756611

Write-up: This is a spontaneous report from a contactable physician. On 07Jun2021, a male patient in his 60s received the first dose of BNT162b2 (COMIRNATY, Solution for injection, Lot number and Expiration date was not reported), via an unspecified route of administration at single dose for COVID-19 immunisation. The patient had underlying diseases of hypertension, hyperlipidaemia and diabetes mellitus. On 11Jun2021, when the patient was doing yard work on a garden, he fell down and he was transferred to a hospital by an ambulance. On the same day at 11:44, the patient''s death was confirmed. Outcome of event was fatal.The cause of death was acute myocardial infarction. It was not reported if an autopsy was performed. The causal relationship with BNT162b2 was unknown.; Sender''s Comments: Based on the limited information in the case report and a plausible temporal relationship, A possible causal relationship between event Acute Myocardial Infarction and suspect drug BNT162B2 cannot be excluded. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.; Reported Cause(s) of Death: Acute myocardial infarction

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