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This is VAERS ID 1439438

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First Appeared on 7/2/2021

VAERS ID: 1439438
VAERS Form:2
Age:90.0
Sex:Male
Location:Foreign
Vaccinated:2021-04-01
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW8904 / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Cardiac arrest, Muscular weakness, Mobility decreased, Red blood cell sedimentation rate increased, General physical health deterioration, Blood test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-05
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: Walking difficulty (he had not walked for a year earlier, required nursing services)
Allergies:
Diagnostic Lab Data: Test Date: 202104; Test Name: blood test; Result Unstructured Data: Test Result:a high ESR index
CDC 'Split Type': PLPFIZER INC2021753016

Write-up: Cardiac arrest; the patient''s functioning clearly deteriorated; Mobility decreased/the patient lost the ability to change his body position; Generalised muscle weakness/Lower extremities weakness of/increasing limpness of the legs appeared; Raised ESR; This is a spontaneous report from a contactable consumer (patient''s daughter) downloaded from the regulatory authority-WEB, regulatory authority number PL-URPL-DML-MLP.4401.2.382.2021. The report was sent to regulatory authority on 25May2021 by the patient''s daughter. A 90-year-old male patient received bnt162b2 (COMIRNATY), dose 1 intramuscular on 01Apr2021 (Batch/Lot Number: EW8904) (at the age of 90-year-old) as DOSE 1, SINGLE for covid-19 immunisation. The patient''s medical history included he had not walked for a year earlier, required nursing services. Concomitant medications were not reported. In Apr2021, the patient experienced mobility decreased, generalised muscle weakness, lower extremities weakness of, raised ESR. On an unspecified date, the patient experienced cardiac arrest. The above mentioned events were reported with fatal outcome (resulting in death). Additional clinical course was as follows: Approximately 2 weeks after receiving the first dose of the vaccine, the patient''s functioning clearly deteriorated - he had not walked for a year earlier, required nursing services, but could sat on the bed, could lift his hips when changing diaper pants; after vaccination, increasing limpness of the legs appeared, the patient lost the ability to change his body position, which he had no problems with before (for about 3 weeks he was lying on one side only), the blood results showed a high ESR index. The patient died on 05May2021. Also reported a cause of death as cardiac arrest. An autopsy was not performed. The reporting person indicated the criterion of severe report: death. Regulatory authority classified the report as severe. The data contained in the electronic report are all at the disposal of the regulatory authority in case of obtaining additional information, the next version will be sent. Sender Comment: Progressive muscle weakness and an increase in inflammatory markers are unexpected side effects of Comirnaty vaccine. Due to insufficient information (including the unknown nature of the symptoms), a causal relationship has not been established. There is a time relationship between the administration of the vaccine and the appearance of symptoms. The person submitting the report indicated the criterion of severe report: death. Regulatory authority classified the application as severe. Relatedness of drug to all events by source via method was Unclassified. No follow-up attempts possible. No further information expected. Lot/Batch number already obtained.; Reported Cause(s) of Death: Cardiac arrest; Generalised muscle weakness/Lower extremities weakness of/increasing limpness of the legs appeared; Mobility decreased; Raised ESR

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