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 1589021

Government Disclaimer on use of this data



Case Details

VAERS ID: 1589021 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-05-24
Onset:2021-05-31
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3558 / 1 LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Acute pulmonary oedema, Asthenia, Coordination abnormal, Fatigue
SMQs:, Cardiac failure (narrow), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-31
   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: ATENOLOL; FLECAINE; DOLIPRANE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Balance disorder; Cardiac arrhythmia (treated with medication); Osteoarthritis
Allergies:
Diagnostic Lab Data:
CDC Split Type: FRPFIZER INC202101045378

Write-up: acute lung oedema; Great fatigue; could not stand on his legs; intense asthenia; This is a spontaneous report from a contactable consumer downloaded from the Regulatory Authority-WEB, regulatory authority number FR-AFSSAPS-NC20213389. A 90-year-old male patient received first dose of BNT162B2 (COMIRNATY), intramuscularly on 24May2021 (lot number FC3558) in the left arm as single dose for COVID-19 immunization. Medical history included Cardiac arrhythmia treated with medication, Balance disorders, Osteoarthritis. Concomitant medications included atenolol, flecainide acetate (FLECAINE), paracetamol (DOLIPRANE). The patient experienced great fatigue in the following week on 31May2021, could not stand on his legs...until death a week later. Pulmonary oedema leading to death at home. The patient''s daughter reported that the patient had presented with an altered general condition in the week following the vaccination with intense asthenia on 31May2021. The patient was found deceased by the housekeeper on 31May2021 with a messy home. The doctor who pronounced the patient dead on 31May2021 did not make a diagnosis, and the death probably occurred on 30May2021. The patient''s daughter thought that her father died of acute lung oedema because she perceived, thanks to her magnetism, that her father had a lung problem. There was no medical confirmation of this hypothesis. The nursing team visiting the home had not noticed any new symptoms since the vaccination. A slowdown had been observed for a while, probably dating from before the vaccination. Outcome: fatal, death on 31May2021. Conclusion: Unexplained death one week after vaccination of a 90 year old patient. It was unknown if autopsy was done. The outcome of event acute lung oedema was fatal, outcome of other events were unknown.; Reported Cause(s) of Death: acute lung oedema


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1589021


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