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

This is VAERS ID 1583555

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Case Details

VAERS ID: 1583555 (history)  
Form: Version 2.0  
Age: 89.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-01-05
Onset:2021-01-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-08-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Myocardial infarction
SMQs:, Myocardial infarction (narrow), Embolic and thrombotic events, arterial (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-12
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Atrial fibrillation (Since years, exact date of diagnosis unknown); Coronary artery disease (Date of diagnosis unknown).
Preexisting Conditions: Medical History/Concurrent Conditions: Anterior myocardial infarction (anterior wall infarction).
Allergies:
Diagnostic Lab Data:
CDC Split Type: CHPFIZER INC202101032788

Write-up: fatal heart attack; This is a spontaneous report received from a contactable physician via the Regulatory Authority. Regulatory authority report number CH-SM-2021-19975. A 89-years-old male patient received bnt162b2 (COMIRNATY), dose 1 intramuscular on 05Jan2021 (Batch/Lot number was not reported) at the age of 89-years-old as SINGLE DOSE for covid-19 immunisation. Medical history included ongoing atrial fibrillation Since years, exact date of diagnosis unknown, a history of anterior wall infarction in 2004 (not ongoing), ongoing coronary artery disease, date of diagnosis unknown, otherwise cardiacally well-compensated until fatal episode. No allergies reported by doctor. The patient''s concomitant medications were not reported. The patient experienced fatal heart attack on 12Jan2021. It is not known whether medical intervention was possible. The patient died on 12Jan2021. An autopsy was not performed. The outcome of the event heart attack was fatal. A causal relationship between Comirnaty and Myocardial infarction was assessed as unlikely. Regulatory authority assessed this case as serious with fatal outcome. Reporter Comment: Fatal heart attack in 89-year-old male patient with cardiac history with a history of heart disease, 7 days after administration of Comirnaty. No follow-up attempts are possible, information about batch/lot number cannot be obtained. No further information is expected.; Sender''s Comments: The event of myocardial infarction is assessed as not related to BNT162B2 and more likely due to the underlying medical condition of coronary artery disease in this elderly patient with a medical history of anterior wall infarction and atrial fibrillation.; Reported Cause(s) of Death: Heart attack


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