National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

This is VAERS ID 1428710

Government Disclaimer on use of this data

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1428710
VAERS Form:2
Age:57.0
Sex:Male
Location:Foreign
Vaccinated:2021-05-13
Onset:2021-05-13
Submitted:0000-00-00
Entered:2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Acute myocardial infarction, Malaise, Unresponsive to stimuli, SARS-CoV-2 RNA undetectable

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-16
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: WARFARIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Aortic valve replacement; Chronic ischaemic heart disease, unspecified
Allergies:
Diagnostic Lab Data: Test Date: 20210519; Test Name: SARS-CoV-2 RNA undetectable; Result Unstructured Data: Test Result:nasopharyngeal swab, not detected.
CDC 'Split Type': IEPFIZER INC2021688261

Write-up: RUPTURED ACUTE MYOCARDIAL INFARCTION OF THE ANTERIOR ASPECT OF THE LEFT VENTRICLE; unresponsive; FEELING UNWELL; This is a spontaneous report from a contactable other healthcare professional (Coroner) downloaded from the a regulatory authority. The regulatory authority report number is [IE-HPRA-2021-074281]. A 57-years-old male patient received bnt162b2 (COMIRNATY), dose 1 via an unspecified route of administration on 13May2021 (Lot Number: Unknown) as single dose for covid-19 immunization at the age of 57 years old. Medical history included Chronic ischaemic heart disease, unspecified and aortic valve replacement. Concomitant medication(s) included warfarin. The patient experienced feeling unwell on 13May2021, ruptured acute myocardial infarction of the anterior aspect of the left ventricle on 16May2021. Reported as: On 13May2021, following vaccination, the patient felt unwell that night, next day and again on 16May2021. On 16May2021, the patient was found unresponsive on the floor at home. Given the temporal relationship between the first vaccine and death, a Coroner''s autopsy was directed. On 19May2021, the post-mortem report indicated that the cause of death was a ruptured acute myocardial infarction of the anterior aspect of the left ventricle in the context of chronic ischaemic heart disease and aortic valve replacement. It was noted that nasopharyngeal swab was obtained, which SARS-CoV-2 RNA was not detected on 19May2021. The patient died on 16May2021. An autopsy was performed that revealed ruptured acute myocardial infarction of the anterior aspect of the left ventricle. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: unresponsive; RUPTURED ACUTE MYOCARDIAL INFARCTION OF THE ANTERIOR ASPECT OF THE LEFT VENTRICLE; FEELING UNWELL; Autopsy-determined Cause(s) of Death: RUPTURED ACUTE MYOCARDIAL INFARCTION OF THE ANTERIOR ASPECT OF THE LEFT VENTRICLE

New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=1428710&WAYBACKHISTORY=ON


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