National Vaccine
Information Center

Your Health. Your Family. Your Choice.
Search Results

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

This is VAERS ID 1329812

Government Disclaimer on use of this data

Case Details

VAERS ID: 1329812 (history)  
Form: Version 2.0  
Sex: Female  
Location: Foreign  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Cerebrovascular accident, Pulmonary embolism
SMQs:, Ischaemic central nervous system vascular conditions (narrow), Haemorrhagic central nervous system vascular conditions (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Embolic and thrombotic events, venous (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-09
   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: Acute renal insufficiency; Coronary heart disease; Type 2 diabetes mellitus
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: DEPFIZER INC2021539568

Write-up: Cerebral circulatory disorder (stroke); Lung embolism; This is a spontaneous report downloaded from a Non-contactable Consumer from the Regulatory Authority-WEB [DE-PEI-CADR2021060275], Safety Report Unique Identifier [DE-PEI-202100052193] A 72-years-old female patient received bnt162b2 (COMIRNATY), on 08Jan2021 as UNKNOWN, SINGLE for covid-19 immunisation. Medical history included ongoing coronary artery disease , ongoing acute kidney injury , ongoing type 2 diabetes mellitus. The patient''s concomitant medications were not reported. On 09Jan2021 the patient experienced Cerebral circulatory disorder (stroke), Lung embolism. The patient''s outcome was fatal for Accident cerebrovascular, fatal for Lung embolism. The patient died on 09Jan2021. An autopsy was performed and results were not provided. No follow-up attempts are possible. Information on batch/lot number cannot be obtained.; Reported Cause(s) of Death: Accident cerebrovascular; Lung embolism

New Search

Link To This Search Result:

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