Adverse Event Reporting
| VAERS ID | 1388764 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | FR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | |
| Number of vaccinations | 2 |
| Vaccinated | 2021-04-21 |
| Onset | 2021-05-05 |
| Condition | Died |
Symptoms
- Myocardial infarction
- Pulmonary embolism
Current Illness
Arterial hypertension (in treatment)
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
The emergency doctor could not clearly determine the cause of death: heart attack or pulmonary embolism; The emergency doctor could not clearly determine the cause of death: heart attack or pulmonary embolism; This is a spontaneous report from a non-contactable consumer downloaded from the Regulatory Authority-WEB DE-PEI-CADR2021079557, Safety Report Unique Identifier DE-PEI-202100072624.
An 83-year-old female patient received bnt162b2 (COMIRNATY) dose 2 via an unspecified route of administration on 21Apr2021 (Batch/Lot Number: Unknown) as single dose for COVID-19 immunisation.
Medical history included ongoing arterial hypertension in treatment.
There were no known allergies.
The patient's concomitant medications were not reported.
The patient previously received first dose of bnt162b2 for COVID-19 immunisation and no reaction was reported.
No (reported) complaints after 2nd vaccination.
The patient experienced heart attack and pulmonary embolism on 05May2021.
It was sudden fatal collapse.
The emergency doctor could not clearly determine the cause of death: heart attack or pulmonary embolism.
The patient died on 05May2021.
It was not reported if an autopsy was performed.
The outcome of events was fatal.
No follow-up attempts are possible.
Information on batch/lot number cannot be obtained.
; Reported Cause(s) of Death: Infarct myocardial; Lung embolism