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Report #2895276

Received May 4, 2026

DiedLife-threateningHospitalizedDisabled
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
Female
Age
17 yrs
State
MI
Recovered
Not recovered
Vaccinated
Jun 28, 2022
Onset
Jul 1, 2022
Days to onset
3
Hospital days
22

Vaccines (1)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2FP7135

Symptoms (4)

COVID-19Cardiac arrestDrug ineffectiveMultiple organ dysfunction syndrome

Symptom narrative

Caught Covid and went into cardiac arrest 3 times 20 days after her injection. She passed away in Aug.; Caught Covid and went into cardiac arrest 3 times 20 days after her injection. She passed away in Aug.; Multi organ failure; Caught Covid and went into cardiac arrest 3 times 20 days after her injection. She passed away in Aug.; This is a spontaneous report received from a Consumer or other non HCP. A 17-year-old female patient (not pregnant) received BNT162b2 (COMIRNATY), on 28Jun2022 at 14:30 as dose 2, single (Lot number: FP7135) at the age of 17 years, in arm for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (DOSE 1, Manufacturer unknown), for COVID-19 vaccination. The following information was reported: CARDIAC ARREST (death, prolonged hospitalization, disability, life threatening, medically significant) with onset Jul2022, outcome "fatal", COVID-19 (death, prolonged hospitalization, disability, life threatening, medically significant), DRUG INEFFECTIVE (death, prolonged hospitalization, disability, life threatening, medically significant) all with onset 18Jul2022, outcome "fatal" and all described as "Caught Covid and went into cardiac arrest 3 times 20 days after her injection. She passed away in Aug."; MULTIPLE ORGAN DYSFUNCTION SYNDROME (death, prolonged hospitalization, medically significant) with onset 18Jul2022, outcome "fatal", described as "Multi organ failure". The patient prolonged hospitalization for covid-19, drug ineffective, multiple organ dysfunction syndrome, cardiac arrest (hospitalization duration: 22 day(s)). Therapeutic measures were taken as a result of covid-19, drug ineffective, cardiac arrest. Therapeutic measures were not taken as a result of multiple organ dysfunction syndrome. The patient date of death was 06Aug2022. Reported cause of death: "Multi organ failure", "COVID-19", "Cardiac arrest". No autopsy was performed. Clinical information: It was reported that the patient Caught Covid and went into cardiac arrest 3 times 20 days after her injection. She passed away in Aug. The events resulted in: Hospitalization, Prolongation of existing hospitalization (treatment received during existing hospitalization), Life threatening illness (immediate risk of death from the event), Disability or permanent damage, and the patient died.; Reported Cause(s) of Death: Cardiac arrest; Multi organ failure; COVID-19