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Report #2828902

Received Mar 5, 2025

Died
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Male
Age
Age unknown
State
CA
Recovered
Not recovered
Vaccinated
—
Onset
—
Days to onset
—
Hospital days
—

Vaccines (3)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2——
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2——
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2——

Symptoms (4)

Myocardial infarctionVentricular fibrillationCOVID-19Drug ineffective

Symptom narrative

Covid; Covid; Safety information originally reported under manufacturer case PV202500024499 has been nullified and re-entered under this new manufacturer report number 202500048023. This is a spontaneous report received from a Consumer or other non HCP, Program ID. A male patient received BNT162b2 (BNT162B2), as dose 1, single (Batch/Lot number: unknown) and as dose 2, single (Batch/Lot number: unknown) for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: DRUG INEFFECTIVE (death, medically significant), COVID-19 (death, medically significant), outcome "fatal" and all described as "Covid". The patient date of death was Jan2022. The reported cause of death was unknown. Clinical course: The patient passed away in Jan2022 after getting the Pfizer covid 19 shot the second one he was diagnosed with covid and a Vfib heart attack. The information on the batch/lot number for BNT162b2 will be requested and submitted if and when received.; Sender's Comments: Linked Report(s) : US-PFIZER INC-202500048007 Same patient and suspect product different dose/AE;; Reported Cause(s) of Death: Unknown cause of death