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 1336381

Government Disclaimer on use of this data



Case Details

VAERS ID: 1336381 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-05-08
Onset:2021-05-08
   Days after vaccination:0
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: 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: 2021-05-08
   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: Lymphoma
Allergies:
Diagnostic Lab Data:
CDC Split Type: BEPFIZER INC2021553628

Write-up: Sudden death; This is a spontaneous report from a contactable physician downloaded from the regulatory authority, regulatory authority number BE-FAMHP-DHH-N2021-91435. An adult male patient received first dose of bnt162b2 (COMIRNATY), on 08May2021 as 1st dose, single for covid-19 immunisation. Medical history included lymphoma. The patient''s concomitant medications were not reported. The patient experienced sudden death on 08May2021. No treatment received. The patient died on 08May2021. An autopsy was not performed. Reporter Comment: The patient died suddenly on this date. I happened to note when filling out the death certificates that he was prioritized for vaccination the same day with the first dose of Comirnaty. According to the family, the patient was recovering from lymphoma, with no active treatment at this time. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reporter''s Comments: The patient died suddenly on this date. I happened to note when filling out the death certificates that he was prioritized for vaccination the same day with the first dose of Comirnaty. According to the family, the patient was recovering from lymphoma, with no active treatment at this time.; Sender''s Comments: Information provided was so limited to prevent a meaningful or definite medical assessment for this demise. A causal relationship cannot be completely excluded between BNT162B2 injection and sudden death, due to the close chronological sequence. This case will be reassessed should additional information becomes 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: Sudden death


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1336381


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