National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1064459

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1064459
VAERS Form:2
Age:98.0
Sex:Female
Location:Foreign
Vaccinated:2021-01-19
Onset:2021-01-29
Submitted:0000-00-00
Entered:2021-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL 1491 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Cardiac failure, Emphysema, Pneumonia, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-29
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: FENTANYL; INHIXA; OLEOVIT D3; VENDAL [MORPHINE SULFATE]; BIATAIN; PRONTOSAN [POLIHEXANIDE]; QUETIALAN
Current Illness: Arterial hypertension; Arteriosclerotic cardiovascular disease (Sclerosis of the basal cerebral arteries); Atrial fibrillation; Cardiac dilatation (Right heart dilation); Decubitus (Gluteal decubitus); Dementia; Depression; Heart insufficiency; Hypercholesteraemia; Immobile (Immobility (bedridden for months)); Incontinence urinary; Knee prosthesis user; Marasmus (Marasmus senilis); Osteoporosis; Renal cyst; Renal insufficiency (Renal insufficiency IIIb); Steatosis hepatic; Thyroid adenoma (regressive follicle. Adenoma in the right lower lobe of the thyroid); Umbilical hernia
Preexisting Conditions: Medical History/Concurrent Conditions: Atrioventricular block first degree (1st degree AV block); Femur fracture (status post pertrochanteric OSCH fracture left op 1/17)
Allergies:
Diagnostic Lab Data: Test Date: 20210129; Test Name: COVID-19 rapid test; Test Result: Negative
CDC 'Split Type': ATPFIZER INC2021190656

Write-up: Bronchopneumonia in the context of chronic bullous pulmonary emphysema and cor scleroticum decompensatum; Bronchopneumonia in the context of chronic bullous pulmonary emphysema and cor scleroticum decompensatum; Bronchopneumonia in the context of chronic bullous pulmonary emphysema and cor scleroticum decompensatum; This is a spontaneous report from other healthcare professional downloaded from the regulatory authority AT-BASGAGES-2021-03383 and received via Regulatory Authority. A 98-year-old female patient received BNT162B2 (COMIRNATY, batch/lot number: EL 1491) first dose on 19Jan2021 15:45 at single dose for COVID-19 immunization. The patient''s medical history and concurrent conditions included: Dementia (continuing), Depression (continuing), Knee prosthesis user (continuing), Umbilical hernia (continuing), Heart insufficiency (continuing), Arterial hypertension (continuing), Immobile (continuing, Immobility (bedridden for months)), Incontinence urinary (continuing), Renal insufficiency (from Oct2013 and continuing), Osteoporosis (continuing), Femur fracture from Jan2017 and not ongoing (status post pertrochanteric OSCH fracture left op 1/17), Atrial fibrillation (continuing), Marasmus (continuing, Marasmus senilis), Decubitus (continuing, Gluteal decubitus), Thyroid adenoma (continuing, regressive follicle. Adenoma in the right lower lobe of the thyroid), Arteriosclerotic cardiovascular disease (continuing, Sclerosis of the basal cerebral arteries), Steatosis hepatic (continuing), Renal cyst (continuing), Cardiac dilatation (continuing, Right heart dilation), Atrioventricular block first degree (1st degree AV block) from unspecified date and unknown if ongoing, Hypercholesteraemia (continuing). Concomitant medicaitons included Fentanyl Gen 25 ?g patch from 29Dec2020, enoxaparin sodium (INHIXA), colecalciferol (OLEOVIT D3) drops, morphine sulfate (VENDAL AMP) on 29Jan2021 because of pain, shortness of breath, restlessness, fear, polyurethane (BIATAIN) silicone plaster since 21Jan2021, Biaitain Alginate Gel local since 21Jan2021, polihexanide (PRONTOSAN) solution, locally since 06Nov2020, Tegaderm Roll plaster since 26Nov2020, quetiapine fumarate (QUETIALAN) Ftbl 28since Dec2020. The patient died on 29Jan2021 16:00 from Bronchopneumonia, Bullous emphysema, Decompensated heart failure. The autopsy determined cause of death was reported to be: ronchopneumonia, Bullous emphysema, Decompensated heart failure. The Covid rapid test was negative on 29Jan2021. Autopsy findings from 03Feb2021: Since the connection between death and vaccination cannot be safely ruled out -$g autopsy. The autopsy died with bronchopneumonia in the context of chron. bullous emphysema and cor scleroticum decompensatum. A connection to the recent COVID-19 vaccination cannot be made with the means of an anatomical section, as immunological. Processes in the field of physiological or biochem. Structural levels cannot be captured by it. Thus, no evidence of any accelerations of underlying diseases resulting in death by this method is possible. No evidence of a communicable infectious disease - negative COVID-19 test before autopsy. Agency follow-up from 17Feb2021: No causal connection with the Comirnaty vaccination suspected, No symptoms occurred when (date, possibly time) after the vaccination, there were no signs of infection at the time of vaccination - apart from the underlying diseases, Sender Comment: Confounding factors: missing info The available information was considered inadequate to fully assess the case. The information provided in this individual case does not warrant a change in the product information or other measures. The case will be closed at this time. The topic will be monitored closely. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Bronchopneumonia in the context of chronic bullous pulmonary emphysema and cor scleroticum decompensatum; Bronchopneumonia in the context of chronic bullous pulmonary emphysema and cor scleroticum decompensatum; Bronchopneumonia in the context of chr

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1064459&WAYBACKHISTORY=ON

Government Disclaimer on use of this data


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166