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This is VAERS ID 1055874

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1055874
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-18
Onset:2021-01-20
Submitted:0000-00-00
Entered:2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM0477 / 1 LA / OT

Administered by: Other      Purchased by: ??
Symptoms: Arrhythmia, Blood pressure systolic, Body temperature, Dysphagia, Hyperthermia, Lung disorder, Oxygen saturation, Oxygen saturation decreased, Pneumonia, Somnolence, Tongue oedema, Computerised tomogram thorax, Cognitive disorder, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-01
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: 6     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Deep vein thrombosis; Dementia Alzheimer''s type; Hypertension arterial; Living in nursing home
Allergies:
Diagnostic Lab Data: Test Date: 20210201; Test Name: Systolic blood pressure; Result Unstructured Data: Test Result:99 mmHg; Test Date: 20210120; Test Name: body temperature; Result Unstructured Data: Test Result:38.7 Centigrade; Test Date: 20210121; Test Name: body temperature; Result Unstructured Data: Test Result:37.5 Centigrade; Test Date: 20210122; Test Name: body temperature; Result Unstructured Data: Test Result:37 Centigrade; Test Date: 20210129; Test Name: body temperature; Result Unstructured Data: Test Result:38.5 Centigrade; Test Date: 20210121; Test Name: thoracic scanner; Result Unstructured Data: Test Result:pneumonia; Test Date: 20210120; Test Name: o2 saturation; Test Result: 95 %; Test Date: 20210201; Test Name: o2 saturation; Test Result: 65 %; Comments: desaturation; Test Date: 20210122; Test Name: SARS-CoV-2 test positive; Test Result: Negative ; Test Date: 20210129; Test Name: SARS-CoV-2 test positive; Result Unstructured Data: Test Result:POSITIVE COVID-19 PCR test.
CDC 'Split Type': FRPFIZER INC2021181407

Write-up: Pneumopathy; Edema tongue; ARRHYTHMIA; Oxygen saturation decreased/ respiratory degradation with 65% O2 desaturation; positive COVID-19 PCR test; deterioration of cognitive function; difficulty swallowing; pneumonia; slight drowsiness; hyperthermia at 38.7 C; This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority-WEB FR-AFSSAPS-CF20210161. A 90-years-old female patient received first dose of bnt162b2 (COMIRNATY, lot# EM0477), intramuscular on 18Jan2021 at single dose for covid-19 immunisation. Medical history included dementia alzheimer''s type, deep vein thrombosis, hypertension arterial, living in nursing home from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. The patient experienced oxygen saturation decreased on 01Feb2021, pneumopathy on 21Jan2021, edema tongue on 20Jan2021. Clinical course reported as: On 20Jan2021, she presented with hyperthermia at 38.7 C which will persist throughout the day with slight drowsiness. No respiratory distress (SpO2 95%), no mottling. Put on antibiotic therapy and solumedrol. 21Jan2021: eupneic patient, T ? at 37.5 ? C, appearance of edema of the tongue with difficulty in swallowing =$g realization of a thoracic scanner objectifying pneumonia (inhalation?). From Jan22 to 28Jan2021: hospitalization of the patient, initiation of antibiotic therapy + corticosteroid therapy + polaramine. Temperature at 37 ? C but persistence of edema of the tongue. Covid test negative. Return to nursing home on 29Jan2021: deterioration of cognitive functions. Recurrence of fever at 38.5 C. positive COVID-19 PCR test. 31Jan2021: comfort care for the patient =$g put on morphine. 01Feb2021: respiratory degradation with 65% O2 desaturation and evidence of an arrhythmia associated with systolic BP of 99 mmHg =$g taken in charge by the Emergency medical services, death observed two hours after this treatment. The patient died on 01Feb2021. It was not reported if an autopsy was performed. Events oxygen saturation decreased, pneumopathy, edema tongue were reported as serious fatal. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Oxygen saturation decreased; Pneumopathy; Edema tongue

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