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This is VAERS ID 1067876

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1067876
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, C-reactive protein, C-reactive protein increased, Chronic obstructive pulmonary disease, Haemoglobin, Heart rate, Pyrexia, Somnolence, Blood test, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-02
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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anemia; Anxiety; Atrial fibrillation; Bedridden (Much bedridden, mobilized up with active lift to wheelchair. Up at everey meal. In total need of care.); Chronic obstructive lung disease (Unknown grade.); Heart failure; Incontinence; Kidney failure; Living in residential institution (Long term from 2017. In total need of care.); Type 2 diabetes mellitus; Wheelchair user
Diagnostic Lab Data: Test Date: 20210115; Test Name: Blood tests; Result Unstructured Data: Test Result:normal; Test Date: 20210123; Test Name: Body temperature; Result Unstructured Data: Test Result:38.4 Centigrade; Test Date: 20210123; Test Name: C-reactive protein; Result Unstructured Data: Test Result:45 mg/l; Test Date: 20210126; Test Name: C-reactive protein; Result Unstructured Data: Test Result:31 mg/l; Test Date: 20210115; Test Name: Hemoglobin; Result Unstructured Data: Test Result:8.3; Comments: Treatment started (iron and folic acid); Test Date: 20210123; Test Name: Pulse rate; Result Unstructured Data: Test Result:90-110; Comments: Known atrial fibrillation; Test Date: 20210124; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:Negative
CDC 'Split Type': NOPFIZER INC2021213104

Write-up: COPD EXACERBATION; SOMNOLENCE; FEVER 38.4; CRP INCREASED; This is a spontaneous report from a contactable other HCP from the regulatory authority, number NO-NOMAADVRE-FHI-2021-00077. A 92-year-old female patient received the second dose of BNT162B2 (COMIRNATY) from lot# EM0477 on 20Jan2021 08:00 at single dose via intramuscular route at the left arm for COVID-19 immunization. Medical history was not reported. Concomitant medications included ipratropium bromide (ATROVENT), beclometasone dipropionate, formoterol fumarate (INUXAIR), salbutamol (VENTOLINE), zopiclone, pantoprazole , sodium picosulfate (LAXOBERAL), bisacodyl (TOILAX), prednisolon, bumetanide (BURINEX), escitalopram (CIPRALEX) , apixaban (ELIQUIS), naloxone hydrochloride, oxycodone hydrochloride (TARGINIQ). Medical history included bedridden, mobilized up with active lift to wheelchair, anaemia, renal failure, anxiety, living in residential institution from 2017 to an unknown date, chronic obstructive pulmonary disease, atrial fibrillation, type 2 diabetes mellitus, cardiac failure, Incontinence all unknown if ongoing, On 23Jan2021 the patient experienced somnolence (slept all day), fever at 38.4 and increased CRP. These symptoms were improving after three days. Two days after the improvement she was again more somnolent. She got a COPD exacerbation seven days after the vaccination, and died 12 days after the vaccination, on 02Feb2021 due to the COPD exacerbation (according to the reporter). It was unknown if an autopsy was performed. The clinical course was as follows on 20Jan2021: tired and somnolent (might be due to anemia), gradually increasing the last three months. Respiratory stable lately, and is perceived as less short of breath. Physicaly weaker lately, eats well. Slightly clinically dehydrated. Abdominal pain that comes and goes. Emotional stable. Cognitively impaired. On 23Jan2021: perceived as more tired and exhausted than normal (three days after vaccination). Could not stay awake. Did not eat, only ingested drinks and medicines. On 24-25Jan2021: Slept during all visits. On 26Jan2021: No fever. Perceived as less somnolent and in improved general condition. Eats and drinks well. On 28Jan2021: Slept during all visits. Did not eat, only drank some milk. Initial pressure ulcers. Long term increased C-reactive protein (more than two years). Lab data included C-reactive protein: 45 on 23Jan2021 and 31 on 26Jan2021; Haemoglobin: 8.3 on 15Jan2021 and treatment started (iron and folic acid); Heart rate: 90/110 on 23Jan2021; COVID-19 virus test: negative on 24Jan2021. No follow-up attempts possible. No further information expected.; Reporter''s Comments: 23Jan2021: additional information received from reporter (by phone). The following fields have been updated: Event, Event Description, Patient (Disease: date of death).; Reported Cause(s) of Death: COPD exacerbation

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