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This is VAERS ID 1061859

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1061859
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-12
Onset:2021-01-20
Submitted:0000-00-00
Entered:2021-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6795 / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: C-reactive protein, Death, Heart rate, Oedema peripheral, Oxygen saturation, Physical examination, N-terminal prohormone brain natriuretic peptide, Blood pressure measurement

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? No
Previous Vaccinations:
Other Medications: FURIX [FUROSEMIDE]; PARACET [PARACETAMOL]; QUETIAPIN AMNEAL; NORSPAN [BUPRENORPHINE]; BISOPROLOL SANDOZ
Current Illness: Dementia; Essential hypertension; Living in nursing home; Multimorbidity; Osteoporosis; Wheelchair user
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210120; Test Name: Blood pressure; Result Unstructured Data: Test Result:100/71; Test Date: 20210127; Test Name: Blood pressure; Result Unstructured Data: Test Result:106/75; Test Date: 20210201; Test Name: C-reactive protein; Result Unstructured Data: Test Result:160; Test Date: 20210120; Test Name: Pulse rate; Result Unstructured Data: Test Result:103; Test Date: 20210127; Test Name: Pulse rate; Result Unstructured Data: Test Result:107; Test Date: 202003; Test Name: NT-proBNP; Result Unstructured Data: Test Result:1617; Test Date: 20210120; Test Name: Oxygen saturation; Test Result: 94 %; Test Date: 20210120; Test Name: Physical examination; Result Unstructured Data: Test Result: edematous area; Comments: Examined by doctor due to reported edema around left arm. There was an edematous area around the left elbow 5cm x 5cm. The patient sits very crooked in her wheelchair, and her elbow hangs low.; Test Date: 20210127; Test Name: Physical examination; Result Unstructured Data: Test Result: No changes; Comments: No changes in the patient''s general condition, no increased in wheezing or edema.
CDC 'Split Type': NOPFIZER INC2021191020

Write-up: DEATH; edematous area around the left elbow 5cm x 5cm.; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority -WEB [NO-NOMAADVRE-FHI-2021-Uqper]. Other case identifier number: NO-NOMAADVRE-E2B_00015189. A 80-years-old female patient received the first dose of bnt162b2 (COMIRNATY; Lot EJ6795) , intramuscular on 12Jan2021 at single dose for covid-19 immunisation. Medical history included living in residential institution, ongoing multimorbidity, ongoing osteoporosis, ongoing wheelchair user, ongoing dementia, ongoing essential hypertension. Concomitant medication included furosemide (FURIX [FUROSEMIDE]), paracetamol (PARACET [PARACETAMOL]), quetiapine fumarate (QUETIAPIN AMNEAL), buprenorphine (NORSPAN [BUPRENORPHINE]), bisoprolol fumarate (BISOPROLOL SANDOZ). On 20Jan2021, the patient showed an edematous area around the left elbow 5cm x 5cm. with outcome of unknown. The patient died on 01Feb2021 of unknown cause. The patient underwent lab tests and procedures which included blood pressure measurement: 100/71 on 20Jan2021, blood pressure measurement: 106/75 on 27Jan2021, c-reactive protein: 160 on 01Feb2021, heart rate: 103 on 20Jan2021, heart rate: 107 on 27Jan2021, n-terminal prohormone brain natriuretic peptide: 16:17 on Mar2020, oxygen saturation: 94 % on 20Jan2021, physical examination: edematous area on 20Jan2021. It was not reported if an autopsy was performed. Reporter''s comment: Multimorbid long-term resident at a nursing home with dementia, essential hypertension and unspecified osteoporosis. proBNP from March 2020: 1617. In June and July 2020, the patient was assessed by the previous nursing home doctor as being a preterminal. However, the patient returned to habitual. Likewise, the staff asked if the patient was terminal in November 2020, but the patient was not in terminal phase. 12Jan2021: The patient received Covid-19 vaccine. No side effects were reported after vaccination. After the vaccine, she was in a habitual state, until her death. Ate and drank as usual. Been up in a wheelchair and awake. 20Jan2021: supervision by doctor due to reported edema around left arm. There was an edematous area around the left elbow 5cm x 5cm. The patient sits very crooked in her wheelchair, and her elbow hangs low. Otherwise no edema. vitalia: BT: 100 / 71mmHg p: 103 O2: 94%. A review of the patient''s medicines done: Furix 20mg was discontinued due to little / no edema. No symptoms of stasis. Low fluid intake. Likewise, bisoprolol 1.25 mg was discontinued. Quetiapine 25mg was also discontinued due to no anxiety or restlessness. 27Jan2021: Physical examination: After the above medication changes; no changes in the patient''s general condition, no increased in wheezing or edema. Vitalia unchanged. Blood pressure: 106/75, pulse rate: 107. 01Feb2021: The patient died. Journal note 01Feb2021: Supervision by nurse in the morning due to distended and tender when palpated abdomen. She was a little pale but otherwise dry and warm skin. Appears as in habitual state, but constipation was suspects due clinical examination and no documented stool since 25Jan2021. Nurse is contacted again at about 11:30 due to deterioration of patient''s status. Unable to measure BT as the patient is very tense throughout the body. Difficult to speak, breathing superficially. CRP is measured at 160. In a few minutes her condition worsened and she is no longer contactable or respond to pain stimuli. Even more superficial respiration. The patient is suspect to be in terminal state. Then the patient had Cheyne-Stokes respiration. Morphine was not given as the patient appears peaceful and very short remaining life is suspect. The patient dies 11:55. No signs of external trauma. Do not suspect a clear link between vaccine and death. Reports for good measure. Sender''s Comments (TRANSLATION): When vaccinating patients with frailty who are ill with many underlying diseases, some serious events, including death, may occur shortly after vaccination without any connection to vaccination. However, it cannot be ruled out that the vaccine has contributed to the worsening of the patient''s underlying disease. In each case, it is difficult to know whether the death is due to the vaccine, the patient''s underlying disease or another, random, simultaneous cause that has nothing to do with the vaccination in question. The reporter has stated that there is no suspected clear connection between the vaccine and the death, and that it is reported for good measure. On the basis of the information in the report, it is difficult to assess this in more detail, and we therefore register in this case a causal connection with vaccination as uncertain. Since the patient died, the report is classified as serious, even though no causal link between the vaccine and the death has been established.; Reported Cause(s) of Death: DEATH.

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