Adverse Event Reporting

VAERS ID	1578846
Gender	Male
Age
StateCode	FR
Pharmaceutical Company	PFIZER\BIONTECH
Lot Number	FD9758
Number of vaccinations
Vaccinated	2021-06-25
Onset	2021-07-16
Condition	Died

Symptoms

• Acute myocardial infarction

Current Illness

Preexisting Conditions

Medical History/Concurrent Conditions: Hypertension; Stress

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Write-up

Acute myocardial infarction; This is a spontaneous report from a non-contactable physician downloaded from the Regulatory Authority, regulatory authority number DE-PEI-202100145048.
An adult male patient of an unspecified age received bnt162b2 (COMIRNATY), via an unspecified route of administration on 25Jun2021 (Batch/Lot Number: FD9758) as dose number unknown, 0.
3ml single for covid-19 immunisation.
Medical history included hypertension and stress.
The patient's concomitant medications were not reported.
The patient experienced acute myocardial infarction on 16Jul2021.
The patient died on 16Jul2021 due to acute myocardial infarction.
It was unknown if an autopsy was performed.
No follow up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: Acute myocardial infarction