National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/26/2021 release of VAERS data:

This is VAERS ID 1466291

Government Disclaimer on use of this data



Case Details

VAERS ID: 1466291 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-05-01
Onset:2021-05-03
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EX2405 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Chills, Fall, Fatigue, Malaise, Myalgia, Pyrexia, Sudden death
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-07
   Days after onset: 4
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LYRICA; TRADONAL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Tobacco user
Allergies:
Diagnostic Lab Data:
CDC Split Type: BEPFIZER INC2021795201

Write-up: Sudden death with no other explanation/Sudden death; Fall; Fatigue; fleeting thoracic D+/chest pain; Myalgia; Fever; shivering; Malaise; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority (RA)-WEB, regulatory authority number BE-FAMHP-DHH-N2021-91187. A 48-year-old male patient received first dose of BNT162B2 (COMIRNATY), via an unspecified route of administration on 01May2021 (Batch/Lot Number: EX2405) as single dose for covid-19 immunisation. Medical history included tobacco. Concomitant medications included pregabalin (LYRICA) and tramadol hydrochloride (TRADONAL). On 03May2021, patient experienced fever, malaise, shivering, fatigue, myalgia, fall, chest pain, on 07May2021, patient experienced sudden death. Events was further described as follows: Sudden death with no other explanation, malaise, fall and death, failure to attend on 07May2021. No visible cause of death, no known vascular disease, general malaise since Monday 03May2021, did not consult (fleeting thoracic D+ on 03May2021, lasting about 1h, took Dafalgan 1g). For events fever, malaise, shivering, fatigue, myalgia, fall, sudden death, there was no treatment. The outcome of the events was fatal. The patient died on 07May2021. An autopsy was not performed. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: fleeting thoracic D+/chest pain; Myalgia; Fever; Sudden death with no other explanation/Sudden death; Fall; Shivering; Malaise; Fatigue


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1466291


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