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Write-up: hypertension; unwell; confused state; SARS-CoV-2 infection; COVID-19 pneumonia; This is a spontaneous report from a contactable other healthcare professional (other HCP) received from the MHRA. Regulatory authority report number is GB-MHRA-WEBCOVID-202102180927046120, Safety Report Unique Identifier is GB-MHRA-ADR 24784988. A 79-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number: EJ 0724) via an unspecified route of administration on 31Dec2020 at a single dose for covid-19 immunisation. Medical history included covid-19 pneumonia, hypertension, ex-smoker (stopped 2015, unable to establish pack years from notes), IGR, and peripheral arterial disease (PAD). Unsure if patient was enrolled in clinical trial. Concomitant medication included diltiazem hydrochloride (ADIZEM-XL) from 12May2017, acetylsalicylic acid from 11Mar2017 for prophylaxis, atorvastatin from 17Sep2015 for prophylaxis, and ramipril from 12Mar2016 for hypertension. The patient experienced covid-19 pneumonia (death) on 05Jan2021, hypertension (death) on an unspecified date, unwell (non-serious) on an unspecified date with outcome of unknown, confused state (non-serious) on an unspecified date with outcome of unknown, sars-cov-2 infection (non-serious) on 11Jan2021 with outcome of not recovered. Details reported as found on the floor at his home address on 07Jan2021, had been on floor for 2 days. In confused state and had not used alarm system to summons assistance. Ambulance crew used OOH for assessment ad patient. Refused admission to hospital. Obs then, RR28, Hr 90, SpO2 90%oa, BP 160/80, T 39.7c BM6.5. It was attempted to follow up the next working day. Unable to make contact. Ambulance called again on 10Jan2021. SpO2 less than 90%, now too unwell to refuse admission. Admitted to local hospital on 10Jan2021. Patient tested positive Covid-19 on 11Jan2021 in hospital. Onto CPAP. Never recovers. The patient died on 29Jan2021. Cause of death given as Covid pneumonia and hypterension. It was unknown if an autopsy was performed. No follow-up activities are possible. No further information is expected.; Reported Cause(s) of Death: Covid Pneumonia; Hypertension
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