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This is VAERS ID 1044998

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1044998
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-01-14
Onset:2021-01-31
Submitted:0000-00-00
Entered:2021-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1491 / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Alanine aminotransferase, Alanine aminotransferase increased, Aspartate aminotransferase, Blood alkaline phosphatase, Blood lactate dehydrogenase, Gamma-glutamyltransferase, Haemoglobin, Hepatic failure, Hepatitis acute, Lymphocyte count, Neutrophil count, Platelet count, Respiratory failure, Shock, White blood cell count, Pharyngotonsillitis, Haemophagocytic lymphohistiocytosis, Multiple organ dysfunction syndrome

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-07
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: TOCILIZUMAB; PARACETAMOL; ATROVENT; PARACETAMOL; NOLOTIL [METAMIZOLE MAGNESIUM]; PREDNISONE; NOLOTIL [METAMIZOLE MAGNESIUM]; VENTOLINE [SALBUTAMOL]; AUGMENTINE [AMOXICILLIN;CLAVULANIC ACID]; SYMBICORT; URBASON [METHYLPREDNISOLONE]; ENANTYUM
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; COVID-19 pneumonia (Covid-19); Esophageal candidiasis; Herpes zoster; Mononucleosis; Pharyngotonsillitis; Pollen allergy; Tuberculous pneumonia (any form)
Allergies:
Diagnostic Lab Data: Test Date: 20210204; Test Name: Alanine aminotransferase; Result Unstructured Data: Test Result:880; Test Date: 20210206; Test Name: Alanine aminotransferase; Result Unstructured Data: Test Result:2714; Test Date: 20210204; Test Name: Aspartate aminotransferase; Result Unstructured Data: Test Result:1061; Test Date: 20210206; Test Name: Aspartate aminotransferase; Result Unstructured Data: Test Result:4708; Test Date: 20210206; Test Name: ALK phosph; Result Unstructured Data: Test Result:79; Test Date: 20210206; Test Name: Lactate dehydrogenase; Result Unstructured Data: Test Result:126000; Test Date: 20210204; Test Name: Gamma-glutamyltransferase; Result Unstructured Data: Test Result:76; Test Date: 20210205; Test Name: Gamma-glutamyltransferase; Result Unstructured Data: Test Result:127; Test Date: 20210204; Test Name: Haemoglobin; Result Unstructured Data: Test Result:14; Test Date: 20210206; Test Name: Haemoglobin; Result Unstructured Data: Test Result:11,8; Test Date: 20210204; Test Name: Lymphocytes; Result Unstructured Data: Test Result:150; Test Date: 20210206; Test Name: Lymphocytes; Result Unstructured Data: Test Result:210; Test Date: 20210204; Test Name: Neutrophils; Result Unstructured Data: Test Result:2400; Test Date: 20210206; Test Name: Neutrophils; Result Unstructured Data: Test Result:500; Test Date: 20210204; Test Name: Platelet count; Result Unstructured Data: Test Result:132000; Test Date: 20210206; Test Name: Platelet count; Result Unstructured Data: Test Result:59000; Test Date: 20210204; Test Name: WBC; Result Unstructured Data: Test Result:2700; Test Date: 20210206; Test Name: WBC; Result Unstructured Data: Test Result:800
CDC 'Split Type': ESPFIZER INC2021159400

Write-up: Multiple organ failure; suspected hemophagocytic syndrome; Hepatitis acute; liver failure; refractory shock; pharyngotonsillitis; respiratory failure; increased transaminases; This is a spontaneous report from a contactable physician downloaded from the Agency ES-AEMPS-747344. A 26-year-old male patient received first dose of BNT162B2 (COMIRNATY) Lot number EL1491, Intramuscular on 14Jan2021 at single dose for COVID-19 immunisation. Medical history included COVID-19 pneumonia on 26Oct2020 (Bilateral pneumonia. No mechanical ventilation. Confirmed by PCR), Esophageal candidiasis in 2015, Pollen allergy in 2008, Asthma in 2008, Mononucleosis in 2015, Tuberculous pneumonia (any form) in 2003, Herpes zoster on 03Jun2011, Pharyngotonsillitis in 2015. Concomitant medications included tocilizumab from Nov2020 for COVID-19 pneumonia, paracetamol administration in hospital emergencies on 30Jan2021 and 01Feb2021, ipratropium bromide (ATROVENT) administration in hospital emergencies on 30Jan2021, paracetamol tablet from 30Jan2021, metamizole magnesium (NOLOTIL) administration in hospital emergencies on 01Feb2021, prednisone tablet from 30Jan2021, metamizole magnesium (NOLOTIL) Capsule, hard from 01Feb2021, salbutamol (VENTOLINE) from 30Jan2021, amoxicillin, clavulanic acid (AUGMENTINE) from 01Feb2021, budesonide, formoterol fumarate (SYMBICORT) from 03Nov2020, methylprednisolone (URBASON) administration in hospital emergencies on 30Jan2021, dexketoprofen trometamol (ENANTYUM) administration in hospital emergencies on 01Feb2021, and salbutamol administration in hospital emergencies on 30Jan2021. The patient started with symptoms of pharyngotonsillitis on 31Jan2021, various antibiotic treatments Amoxicillin-clavulanic, cefditoren. He developed respiratory failure and increased transaminases. Evolution with liver failure, refractory shock, Hepatitis acute, suspected hemophagocytic syndrome, Multiple organ failure on 04Feb2021. The patient was hospitalized for all events. The patient died on 07Feb2021 due to liver failure, refractory shock, Hepatitis acute, suspected hemophagocytic syndrome, Multiple organ failure. Autopsy was done. In lung biopsy and liver postmortem, HSV-1 in high quantity. The patient underwent lab tests and procedures which included alanine aminotransferase: 880 on 04Feb2021, alanine aminotransferase: 2714 on 06Feb2021, aspartate aminotransferase: 1061 on 04Feb2021, aspartate aminotransferase: 4708 on 06Feb2021, ALK phosph: 79 on 06Feb2021, Lactate dehydrogenase: 126000 on 06Feb2021, gamma-glutamyltransferase: 76 on 04Feb2021, gamma-glutamyltransferase: 127 on 05Feb2021, haemoglobin: 14 on 04Feb2021, haemoglobin: 11,8 on 06Feb2021, Lymphocytes: 150 on 04Feb2021, Lymphocytes: 210 on 06Feb2021, Neutrophils: 2400 on 04Feb2021, Neutrophils: 500 on 06Feb2021, platelet count: 132000 on 04Feb2021, platelet count: 59000 on 06Feb2021, WBC: 2700 on 04Feb2021, WBC: 800 on 06Feb2021. The outcome of pharyngotonsillitis, respiratory failure, increased transaminases was unknown. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Hepatitis acute; liver failure; refractory shock; suspected hemophagocytic syndrome; Multiple organ failure; Autopsy-determined Cause(s) of Death: HSV-1

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