National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/7/2022 release of VAERS data:

This is VAERS ID 1329702

Government Disclaimer on use of this data



Case Details

VAERS ID: 1329702 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-04-08
Onset:2021-04-16
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW2239 / 2 - / OT

Administered by: Other       Purchased by: ?
Symptoms: COVID-19 pneumonia, SARS-CoV-2 test, SARS-CoV-2 test positive, Vaccination failure
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (narrow), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-21
   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:
Current Illness: Cardiac insufficiency (Chronic cardiac insufficiency)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210418; Test Name: PCR; Test Result: Positive ; Comments: (CT value 6.9)
CDC Split Type: ATPFIZER INC2021544622

Write-up: COVID-19 PCR test positive; Vaccination failure; COVID-19 pneumonia; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB AT-BASGAGES-2021-26177. An 82 years old male patient received BNT162B2 (COMIRNATY), 1st dose (Lot#EP2163) Intramuscular on 11Mar2021 at single dose, 2nd dose (Lot#EW2239) intramuscular on 08Apr2021 at single dose for COVID-19 immunization. The patient''s medical history and concurrent conditions included was Cardiac insufficiency (continuing). No concomitant medication reported. Date of death was 21Apr2021 due to COVID-19 Pneumonia. On 16Apr2021 the patient experienced vaccination failure, COVID-19 pneumonia. On 18Apr2021, COVID-19 PCR test positive (CT value 6.9). The patient''s outcome was fatal. It was unknown whether autopsy was done. No follow-up attempts needed. No further information is expected.; Reported Cause(s) of Death: COVID-19 Pneumonia; vaccination failure


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1329702


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166