National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1336355

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1336355
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2021-03-10
Submitted:0000-00-00
Entered:2021-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Respiratory failure, Vaccination failure, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: Weakness generalised (General weakness)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210310; Test Name: COVID-19 virus test positive; Result Unstructured Data: Test Result:positive
CDC 'Split Type': ATPFIZER INC2021553627

Write-up: Vaccination breakthrough after second vaccination, second vaccinator died of respiratory insufficiency with positive SARS-COV-2 testing despite completed vaccination; Vaccination failure after the second vaccination on 29Jan2021; Vaccination breakthrough after second vaccination, second vaccinator died of respiratory insufficiency with positive SARS-COV-2 testing despite completed vaccination; This is a spontaneous report from a contactable physician downloaded from the regulatory authority EudraVigilance-WEB AT-BASGAGES-2021-26930. A 90-year-old male patient received bnt162b2 (COMIRNATY, Batch/Lot number was not reported) via an unspecified route of administration, dose 1 as 1st dose, single on an unspecified date, dose 2 intramuscular on 29Jan2021 as 2nd dose, single for covid-19 immunisation. The patient''s medical history included continuing weakness generalized. Concomitant medication not reported. The patient''s concomitant medications were not reported. Vaccination failure after second vaccination carried out on 29Jan2021, died of respiratory insufficiency with positive SARS-COV-2 testing despite completed vaccination. On 10Mar2021 the patient experienced Vaccination failure, Respiratory insufficiency, COVID-19 virus test positive. The outcome was: unknown for Vaccination failure, fatal for Respiratory insufficiency, unknown for COVID-19 virus test positive. No follow-up attempts are possible. No further information expected. Information on batch/lot number cannot be obtained.; Reported Cause(s) of Death: Vaccination breakthrough after second vaccination, second vaccinator died of respiratory insufficiency with positive SARS-COV-2 testing despite completed vaccination

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1336355&WAYBACKHISTORY=ON


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