National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1329702

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1329702
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-04-08
Onset:2021-04-16
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: Vaccination failure, SARS-CoV-2 test positive, SARS-CoV-2 test, COVID-19 pneumonia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-21
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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&WAYBACKHISTORY=ON


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