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

This is VAERS ID 1588855

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Case Details

VAERS ID: 1588855 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-07-02
Onset:2021-07-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Chest pain, Death, Dizziness, Dyspnoea, Nausea, Tachycardia, Vaccination site haemorrhage, Vaccination site pain
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-07-02
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hay fever
Allergies:
Diagnostic Lab Data:
CDC Split Type: DEPFIZER INC202101038956

Write-up: Unknown cause of death; Tachycardia; nausea; could hardly breathe; pain in the chest area; Bleeding at the injection site; Bleeding at the injection site, pain; severe dizziness; This is a spontaneous report from a non-contactable consumer downloaded from the Regulatory Authority-WEB DE-PEI-CADR2021158100, Sender''s (Case) Safety Report Unique Identifier DE-PEI-202100160608. A 52-year-old female patient received BNT162B2 (COMIRNATY) at 52-year-old, via an unspecified route of administration on 02Jul2021 at single dose for COVID-19 immunisation. Medical history included hay fever. The patient''s concomitant medications were not reported. On 02Jul2021, the patient experienced light headedness, tachycardia, thorax pain, nausea, dyspnea, vaccination site pain, vaccination site hemorrhage, and unknown cause of death. Heavy bleeding after vaccination, doctor was surprised himself, dizziness shortly afterwards. Bleeding at the puncture site, pain, racing heart; before the ambulance came she was dead in the hallway. Patient experienced severe dizziness; pain in the chest area, nausea, could hardly breathe, this came the evening after the 2 vaccinations. This report was serious - hospitalization. Outcome of events was not resolved. The patient died on 02Jul2021. It was not reported if an autopsy was performed. Reactions / Events Assessed by RA, Result of Assessment: "D. Unclassifiable". No follow-up attempts possible. No further information expected. Batch/Lot numbers cannot be obtained.; Reported Cause(s) of Death: Unknown cause of death


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