National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/19/2021 release of VAERS data:

Found 19,249 cases where Vaccine targets COVID-19 (COVID19) and Patient Died

Government Disclaimer on use of this data



Case Details

This is page 1284 out of 1,925

Result pages: prev   1275 1276 1277 1278 1279 1280 1281 1282 1283 1284 1285 1286 1287 1288 1289 1290 1291 1292 1293   next


VAERS ID: 1339912 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-05-10
Onset:2021-05-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: SARS-CoV-2 test, Sudden cardiac death
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Cardiomyopathy (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-11
   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: ISORDIL; SIMVASTATINE; METOPROLOL; SINTROM; PERINDOPRIL ERBUMINE; PANTOPRAZOL [PANTOPRAZOLE]
Current Illness: Coronary sclerosis
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Triple vessel disease (NON-STEMI, found 3-fold coronary artery disease)
Allergies:
Diagnostic Lab Data: Test Date: 20210124; Test Name: corona, confirmed with test; Result Unstructured Data: Test Result:Positive; Test Date: 20210219; Test Name: corona, confirmed with test; Result Unstructured Data: Test Result:Positive
CDC Split Type: NLPFIZER INC2021561310

Write-up: passed away. Familiar with main stem stenosis 90% was on the Coronary Artery Bypass Grafting waiting list.; This is a spontaneous report from a contactable physician downloaded from the regulatory authority-WEB. The regulatory authority report number is [NL-LRB-00538479]. A 72 years old male patient received first dose of BNT162B2 (Comirnaty, solution for injection, lot number/expiration date unknown) on 10May2021 at 13:00 at single dose via an unspecified route of administration for COVID-19 immunization. Relevant medical history included ongoing coronary sclerosis, Covid 19 on 24Jan2021, Triple vessel disease on 19Feb2021. Concomitant medications included isosorbide dinitrate (ISORDIL), simvastatine, metoprolol and acenocoumarol (SINTROM). It was informed patient had a positive COVID test on 19Feb2021 for which he was admitted to hospital initially for Non STEMI but this turned out to be triple vessel disease. Patient already had coronary artery stenosis about 90% for which he was on a waiting list to get a Coronary Artery Bypass Grafting. On 11May2021 between 10.30 am and 2 pm passed away probably acute cardiac death / w s acute myocardial infarction (as reported). It was unknown if an autopsy was performed. It was also mentioned: Link between vaccination and acute death not very likely, but the Health Service physician advised, after internal consultation, to report it anyway. Information about lot/batch number cannot be obtained. No further information expected; Reported Cause(s) of Death: acute cardiac death / ws acute myocardial infarction


VAERS ID: 1339914 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-05-08
Onset:2021-05-13
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Sudden death
SMQs:, Torsade de pointes/QT prolongation (broad), Arrhythmia related investigations, signs and symptoms (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-13
   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:
Preexisting Conditions: Medical History/Concurrent Conditions: Smoker
Allergies:
Diagnostic Lab Data:
CDC Split Type: NLPFIZER INC2021561306

Write-up: Death, died 4 days after vaccination. No complaints reported in advance. sudden death.; This is a spontaneous report from a contactable physician downloaded from a regulatory authority-WEB NL-LRB-00539807. A 71-year-old male patient received the first dose of BNT162b2 (COMIRNATY, Lot number unknown) via an unspecified route of administration on 08May2021 at single dose for COVID-19 immunisation. Relevant medical history included that the patient was a smoker. The patient had no previous COVID-19 infection. Concomitant medications were not reported. On 13May2021 the patient died due to sudden death, presumably cardiac based on the medical history. He had no complaints prior to his death. He had no complaints reported in advance. No autopsy was performed as wished by his family. Information about lot/batch number cannot be obtained. No further information expected.; Reported Cause(s) of Death: sudden death, presumably cardiac based on the story. no autopsy.


VAERS ID: 1339926 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-04-15
Onset:2021-04-01
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / OT

Administered by: Other       Purchased by: ?
Symptoms: Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-17
   Days after onset: 16
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Overweight
Allergies:
Diagnostic Lab Data:
CDC Split Type: NOPFIZER INC2021554083

Write-up: EMBOLISM PULMONARY; This is a spontaneous report from a contactable physician downloaded from a regulatory authority-WEB, regulatory authority number NO-NOMAADVRE-FHI-2021-Umwy3p, Safety Report Unique Identifier NO-NOMAADVRE-E2B_00028831. A 57-year-old female patient received bnt162b2 (COMIRNATY), dose 2 intramuscular on 15Apr2021 (Batch/Lot Number: Unknown) as single dose for covid-19 immunisation. Medical history included overweight. The patient''s concomitant medications were not reported. The patient experienced embolism pulmonary on an unspecified date in Apr2021. Pulmonary embolism with fatal outcome is reported one to two days after vaccination. The patient was significantly overweight. Otherwise, there were no known risk factors for pulmonary embolism. The patient was legally autopsied. The patient died of embolism pulmonary on 17Apr2021. An autopsy was performed and results were not provided. Relatedness of drug to reaction/event: Source of assessment - an unlisted regulatory authority. Result of Assessment was Possible. Sender''s comment: Thank you for reporting a suspected side effect after vaccination. If you should have further information related to the incident, this can be sent in response to this message. The information is processed securely, and this dialog is automatically deleted after 4 months. Processing and storage of personal data takes place in accordance with the Health Register Act. Since the vaccine is new, it is subject to special surveillance in order to detect new safety information as quickly as possible. It is especially important that serious and / or unusual side effects are reported. Your message is therefore important to increase knowledge about side effects that have not been discovered in the studies, and is an important contribution to international cooperation to maintain safe vaccination worldwide. Reports after coronary vaccination in the Adverse Reaction Register are processed by the Norwegian Institute of Public Health in collaboration with a regulatory authority. Causality is assessed in accordance with international criteria. We do not currently have the capacity to send individual adverse reaction reports. For updated information and advice on the use of the vaccines and precautions, refer to the Vaccination Guide. Questions about coronary vaccine that cannot be answered by local experts can be directed to PRIVACY. We request that no special categories of personal information (health information) be sent by e-mail. If it is impossible to ask a question without including such information, we recommend calling the vaccine telephone. No follow-up attempts possible. No further information expected. Lot/Batch number cannot be obtained.; Reported Cause(s) of Death: embolism pulmonary


VAERS ID: 1339930 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-01-07
Onset:2021-01-24
   Days after vaccination:17
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6795 / 1 LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-12
   Days after onset: 19
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Immobile; Vascular disorder (It is stated in the report that the patient had known vascular disease,without further specification)
Allergies:
Diagnostic Lab Data:
CDC Split Type: NOPFIZER INC2021561373

Write-up: EMBOLISM PULMONARY; This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority-WEB [NO-NOMAADVRE-FHI-2021-Urjr93], Safety Report Unique Identifier [NO-NOMAADVRE-E2B_00028837]. A 71-years-old female patient received first dose of BNT162b2 (COMIRNATY, Solution for injection, Lot number: EJ6795) intramuscular on 07Jan2021 12:48 in the arm left at single dose for COVID-19 immunization. Concomitant drugs were not reported. On 24Jan2021, the patient developed pulmonary embolism. The outcome of the event was fatal, the patient died on 12Feb2021. It is stated in the report that it is uncertain whether the vaccine was the cause of the pulmonary embolism. The patient was immobile, had known vascular disease. Also there was a period of 17 days between the vaccination and the pulmonary embolism. The Regional Pharmacist assessed the causal relationship between bnt162b2 (COMIRNATY) and the reported event as Possible. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Pulmonary embolism


VAERS ID: 1339935 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-03-25
Onset:2021-03-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER9480 / 1 LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Coma scale, Confusional state, Depressed level of consciousness, Muscle spasms
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Dystonia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-28
   Days after onset: 2
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: PREDNISOLONE; BURINEX
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Confusion (Occasionally,no change); COPD; Coronary artery bypass; Edema (Pronounced edemas feet, abdomen, truncus.); Heart failure; Immune thrombocytopenia (Recent immune thrombocytopenia, Thrombocyte count 118-106); Liver cirrhosis (idiopathic, advanced); Living in nursing home; Multimorbidity; Renal failure (grade III); Sick sinus syndrome (pacemaker); Tiredness
Allergies:
Diagnostic Lab Data: Test Date: 20210326; Test Name: Glasgow coma scale; Result Unstructured Data: Test Result:3
CDC Split Type: NOPFIZER INC2021545019

Write-up: Muscle spasms; Consciousness decreased; Confusion; This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority-WEB, regulatory authority number NO-NOMAADVRE-FHI-2021-Uwzpw5, Safety Report Unique Identifier NO-NOMAADVRE-E2B_00028161. A 78-year-old male patient received bnt162b2 (COMIRNATY), dose 1 intramuscular, administered in Arm Left on 25Mar2021 11:17 (Lot Number: ER9480) as 1ST DOSE, SINGLE for covid-19 immunisation. Medical history included, multimorbid, living in a nursing home, and occasionally confusion, there was no change in the patient''s condition before or after vaccination, hepatic cirrhosis (idiopathic, advanced), tiredness/ fatigue, Sick sinus syndrome (pacemaker), renal failure grade III , oedema (Pronounced edemas feet, abdomen, truncus), chronic obstructive pulmonary disease (COPD), Heart failure, coronary artery bypass from 2004, recent immune thrombocytopenia (Thrombocyte count 118-106). Concomitant medication(s) included prednisolone and bumetanide (BURINEX), both taken for an unspecified indication, start and stop date were not reported. The day after vaccination on 26Mar2021, the patient was hospitalized due to decreased consiuousness, ongoing muscle spasms and confusion. Treated with midazolam 5 mg in each nostril, which made the muscle spasms more intermittent. At hospitalization it was not possible to get in touch with the patient, and he remained unreachable. The patient died three days on 28Mar2021 at 05:30 am after vaccination. Patient with competence to give consent for vaccination. The patient underwent lab tests and procedures which included Glasgow coma scale: 3 on 26Mar2021. The outcome was fatal of events after treatment given. It''s was unknown if autopsy have been done. Event assessment: Regional Pharmacist / Comirnaty / All Events / Possible Reporter Comment: There was no change in the patient''s condition before or after vaccination, but the day after vaccination the patient was hospitalized due to decreased consiuousness and ongoing muscle spasms. Died three days after vaccination. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: decreased consiuousness; muscle spasms; confusion


VAERS ID: 1339948 (history)  
Form: Version 2.0  
Age: 100.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-05-01
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Drug ineffective
SMQs:, Anaphylactic reaction (broad), Lack of efficacy/effect (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Acute central respiratory depression (narrow), Hypersensitivity (broad), Respiratory failure (narrow), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-17
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PEPFIZER INC2021562761

Write-up: acute respiratory insufficiency / viral pneumonia / unidentified COVID-19 virus; acute respiratory insufficiency / viral pneumonia / unidentified COVID-19 virus; acute respiratory insufficiency / viral pneumonia / unidentified COVID-19 virus; This is a spontaneous report from a contactable pharmacist. A 100-year-old female patient received BNT162B2 (COMIRNATY, batch/lot number was not reported), via an unspecified route of administration on 01May2021 (at 100-year-old) at 1st dose, single for COVID-19 immunisation. The patient did not receive the second dose of the vaccine. The patient medical history and concomitant medications were not reported. The patient died on 17May2021. The cause of death was reported as acute respiratory insufficiency / viral pneumonia / unidentified COVID-19 virus. It was unknown if the autopsy was performed. Information on the lot/batch number has been requested.; Sender''s Comments: Based on available information, a possible contributory role of the subject product, BNT162B2 vaccine, cannot be excluded for the reported events of COVID-19, acute respiratory insufficiency, viral pneumonia and suspected LOE. There is limited information provided in this report. This case will be reassessed once additional information is available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.; Reported Cause(s) of Death: acute respiratory insufficiency / viral pneumonia / unidentified COVID-19 virus; acute respiratory insufficiency / viral pneumonia / unidentified COVID-19 virus; acute respiratory insufficiency / viral pneumonia / unidentified COVID-19 virus


VAERS ID: 1339957 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-04-14
Onset:2021-04-17
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW9127 / 1 LA / OT

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Breath sounds abnormal, Hypotonic-hyporesponsive episode, Myocardial infarction, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Myocardial infarction (narrow), Anticholinergic syndrome (broad), Embolic and thrombotic events, arterial (narrow), Acute central respiratory depression (narrow), Hypotonic-hyporesponsive episode (narrow), Respiratory failure (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-18
   Days after onset: 1
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210417; Test Name: Body temperature; Result Unstructured Data: Test Result:39-39.4 degree Celsius Centigrade; Test Date: 20210417; Test Name: Body temperature; Result Unstructured Data: Test Result:increased up to 39 Centigrade; Test Date: 20210417; Test Name: Body temperature; Result Unstructured Data: Test Result:dropped to 36.6 Centigrade
CDC Split Type: PLPFIZER INC2021554031

Write-up: Hypotonic-hyporesponsive episode; Fever/fever 39-39.4 C/dropped to 36.6 degrees C; Breath sounds abnormal; Myocardial infarction; This is a spontaneous report from a contactable physician downloaded from the regulatory authority-WEB, regulatory authority number PL-URPL-3-630-2021. A 72-year-old female patient received bnt162b2 (COMIRNATY), dose 1 intramuscular, administered in arm left on 14Apr2021 20:29 (Lot Number: EW9127; Expiration Date: 18Apr2021) as single dose for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient experienced myocardial infarction and breath sounds abnormal on 17Apr2021, hypotonic-hyporesponsive episode and fever on 17Apr2021 07:00. Additional information: Reaction date 17Apr2021 at 07:00. In the submitted adverse reaction report the following symptoms were listed after the vaccination: fever 39-39.4 C, up to 24 hours; hypotonic-hyporesponsive episode. Description of the reaction: On 17Apr2021, the patient''s body temperature increased up to 39 degrees C. After administration of Paracetamol, the temperature dropped to 36.6 degrees C. The woman fell asleep. It was impossible to wake her up, she was snoring. An ambulance was called. The patient died in the hospital on April 18 at 00:30. Autopsy Cause of Death: Myocardial Infarction. Application at the request of the family. The outcome of events was fatal. The patient died on 18Apr2021. Sender''s comment: Pyrexia is an expected side effect as described in the regulatory authority and may occur following the administration of Comirnaty vaccine. The report includes a hypotonic-hyporesponsive episode, which, according to the definition, occurs among children under 2 years old. The report concerns an adult. The episode was marked by a physician because the undesirable post-vaccination reaction report does not provide a possibility to select the appropriate symptoms for adults. According to the regulatory authority, hypotonic-hyporesponsive episode among adults should not be taken into account in the assessment. In such a case, it is symptoms that should be assessed: syncope or presyncope state. Myocardial infarction is an effect not expected with Comirnaty vaccine. Until May 10, 2021, the regulatory authority database has had 133 cases of myocardial infarction reported, including 59 fatal cases. Snoring is not an expected reaction to the vaccine. Breathing sounds abnormal have been reported in the regulatory authority database. The regulatory authority does not have information about the patient''s medical history, only the cause of death is known, which was determined as a result of an autopsy. There is a time relationship between the administration of the vaccine and the occurrence of side effects. The reporting person qualified undesirable post-vaccination reaction as heavy. The regulatory authority assessed the undesirable post-vaccination reaction as heavy. Relatedness of drug to reaction(s)/event(s):Hypotonic-hyporesponsive episode, Source of assessment - regulatory authority, Method of assessment - regulatory authority, Result of Assessment - Unclassifiable Relatedness of drug to reaction(s)/event(s): Myocardial infarction, Source of assessment, Method of assessment - regulatory authority, Result of Assessment - Possible Relatedness of drug to reaction(s)/event(s): Fever, Source of assessment - Regulatory Authority, Method of assessment - regulatory authority, Result of Assessment - Probable Relatedness of drug to reaction(s)/event(s): Breath sounds abnormal, Source of assessment - Regulatory Authority, Method of assessment - regulatory authority, Result of Assessment - Possible No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Hypotonic-hyporesponsive episode; Fever; Breath sounds abnormal; Autopsy-determined Cause(s) of Death: Myocardial infarction


VAERS ID: 1340051 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-01-01
Onset:2021-01-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6134 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Circulatory collapse
SMQs:, Anaphylactic reaction (narrow), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Torsade de pointes, shock-associated conditions (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-01
   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: Cardiac failure; Chronic obstructive pulmonary disease; Liver cirrhosis; Type 2 diabetes mellitus; Vascular dementia
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: SEPFIZER INC2021554110

Write-up: ACUTE CIRCULATION CONDITION (FAILURE); This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority-WEB. The regulatory authority report number is [SE-MPA-2021-037891]. An 85-year-old male patient received bnt162b2 (COMIRNATY), dose 1 via an unspecified route of administration on Jan2021 (Lot Number: EJ6134) as 1ST DOSE, SINGLE for covid-19 immunisation. Medical history included ongoing chronic obstructive pulmonary disease, ongoing type 2 diabetes mellitus, ongoing hepatic cirrhosis, ongoing vascular dementia, ongoing cardiac failure. The patient''s concomitant medications were not reported. The patient experienced acute circulation condition in Jan2021 with fatal outcome. Patient was die in Jan2021. Patient was entirety an elderly, multi-sick man, who received the vaccine the day before death. Unclear causal relationship. But report due to new vaccine. The patient died on Jan2021. It is unknown if autopsy was done. No follow-up attempts are possible. No further information is expected. Information about batch number already obtained. ; Reported Cause(s) of Death: Acute circulatory failure


VAERS ID: 1342118 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-05-13
Onset:2021-05-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FOREIGN / 1 UN / UN

Administered by: Unknown       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-18
   Days after onset: 5
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Warfin Anticoagulant
Current Illness: No
Preexisting Conditions: heart valve operation
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: Death - after 4 days


VAERS ID: 1342583 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Comments: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: ITJNJFOC20210541498

Write-up: DEATH; This spontaneous report received from a patient via a company representative from news article concerned a patient of unspecified age and sex. The patient''s weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin, and batch number were not reported) dose, frequency once total, start therapy date were not reported for prophylactic vaccination. The Company is unable to perform follow-up to request batch/lot numbers. No concomitant medications were reported. On an unspecified date, the patient was died. The cause of death was not reported. It was unknown whether the autopsy was done or not. It was reported that first forensic investigations did not revealed obvious connections with the vaccine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. This report was serious (Death).; Sender''s Comments: V0:20210541498-covid-19 vaccine ad26.cov2.s -death. This event(s) is considered unassessable. The event(s) has a compatible/suggestive temporal relationship, is unlabeled, and has unknown scientific plausibility. There is no information on any other factors potentially associated with the event(s).; Reported Cause(s) of Death: DEATH


Result pages: prev   1275 1276 1277 1278 1279 1280 1281 1282 1283 1284 1285 1286 1287 1288 1289 1290 1291 1292 1293   next

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?EVENTS=ON&PAGENO=1284&VAX=COVID19&VAXTYPES=COVID-19&DIED=Yes


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