National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1081810

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1081810
VAERS Form:2
Age:88.0
Sex:Female
Location:Foreign
Vaccinated:2021-02-02
Onset:2021-02-02
Submitted:0000-00-00
Entered:2021-03-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6795 / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Alanine aminotransferase, Aspartate aminotransferase, Blood albumin, Blood alkaline phosphatase, Blood calcium, Blood chloride, Blood creatinine, Blood gases, Blood glucose, Blood potassium, Blood sodium, Blood urea, C-reactive protein increased, Coma, Gamma-glutamyltransferase, Glomerular filtration rate, Haemoglobin, Heart rate, Hypoxia, Neutrophil count, Oxygen saturation, PCO2, Platelet count, PO2, Prothrombin time, Quadriplegia, White blood cell count, Protein total, Lipase, Brain natriuretic peptide, Antidepressant drug level, Troponin, Coma scale, Blood pressure measurement

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-03
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:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: VERATRAN; LERCAN; NEURONTIN; FUMAFER; LEVOTHYROX; XARELTO; UVEDOSE; TAREG; CALCIDOSE [CALCIUM CARBONATE]; PANTOPRAZOLE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Activities of daily living impaired; Atrial fibrillation; Cognitive disorders (advanced); Embolism pulmonary; General physical health deterioration; Hypertension arterial; Meningoencephalitis (with hippocampal involvement); Osteoporosis; Uterine cancer NOS
Allergies:
Diagnostic Lab Data: Test Name: alat; Result Unstructured Data: Test Result:30; Test Name: TCA; Result Unstructured Data: Test Result:40; Test Name: ASAT; Result Unstructured Data: Test Result:25; Test Name: albumin; Test Result: 37 g; Test Name: PAL; Result Unstructured Data: Test Result:103; Test Name: Ca; Result Unstructured Data: Test Result:2.37; Test Name: Cl; Result Unstructured Data: Test Result:99 mmol/L; Test Name: creatinine; Result Unstructured Data: Test Result:45 umol/l; Test Name: blood gasses; Result Unstructured Data: Test Result:7,11 pH units; Test Name: blood glucose; Result Unstructured Data: Test Result:10 mmol/L; Test Name: blood sugar; Result Unstructured Data: Test Result:1.56 g/l; Comments: fasting; Test Name: K; Result Unstructured Data: Test Result:5 mmol/L; Test Name: blood pressure; Result Unstructured Data: Test Result:170/70 mmHg; Test Name: Na; Result Unstructured Data: Test Result:141 mmol/L; Test Name: Urea; Result Unstructured Data: Test Result:9.9 mmol/L; Test Name: BNP; Result Unstructured Data: Test Result:56; Test Name: Glasgow Coma Scale; Result Unstructured Data: Test Result:3; Test Name: CRP; Result Unstructured Data: Test Result:0,8; Test Name: GammaGT; Result Unstructured Data: Test Result:13; Test Name: GFR; Result Unstructured Data: Test Result:95 ml/min; Test Name: Hb; Test Result: 16.4 g; Test Name: heart rate; Result Unstructured Data: Test Result:80; Test Name: Lipase; Test Result: 37 g; Test Name: PNN; Result Unstructured Data: Test Result:8.4 x10 9/l; Test Name: Saturation; Result Unstructured Data: Test Result:63%; Test Name: Saturation; Result Unstructured Data: Test Result:93%; Comments: under 9l of O2; Test Name: PCO2; Result Unstructured Data: Test Result:131; Test Name: platelets; Result Unstructured Data: Test Result:331 x10 9/l; Test Name: po2; Result Unstructured Data: Test Result:232; Test Name: protein; Result Unstructured Data: Test Result:69 g/l; Test Name: prothrombin time; Result Unstructured Data: Test Result:52%; Test Name: troponin; Result Unstructured Data: Test Result:10.9; Comments: without further details; Test Name: Leukocyte count; Result Unstructured Data: Test Result:10.4 x10 9/l
CDC 'Split Type': FRPFIZER INC2021232797

Write-up: Coma; Hypoxia/Severe hypoxia (O2 Sat 63%); flaccid quadriplegia; This is a spontaneous report downloaded from the Regulatory Authority, regulatory authority report number: FR-AFSSAPS-BX20211195. A contactable physician reported that an 88-year-old female patient received bnt162b2 (COMIRNATY solution for injection; lot number: EJ6795; expiry date: unknown) intramuscular on 02Feb2021 at 14:30, at a single dose, for COVID-19 immunisation. Medical history included hypertension arterial, embolism pulmonary, uterine cancer NOS, atrial fibrillation, and osteoporosis. Patient with an extensive history including meningoencephalitis in 2002 with hippocampal involvement, advanced cognitive disorders, assistance requried in all daily activities, patient communicating with slate, with a deterioration of the general condition for several days. Concomitant medication included clotiazepam (VERATRAN), lercanidipine hydrochloride (LERCAN), gabapentin (NEURONTIN), ferrous fumarate (FUMAFER), levothyroxine sodium (LEVOTHYROX), rivaroxaban (XARELTO), colecalciferol (UVEDOSE), valsartan (TAREG), calcium carbonate (CALCIDOSE), and pantoprazole. The morning of the vaccination, apathetic patient, found slumped on the right side with a doubt of a facial paralysis, but with responses to simple orders, without sensory-motor deficit or frank facial paralysis demonstrated by the nurse. No notion of choking in the last few days. Vaccination at 2:30 p.m., mention of the lack of immediate effect on the report. The patient experienced severe hypoxia (O2 Sat 63%) and unfavorable coma after vaccination, cause of death not found. According to the declarant, 20 minutes after vaccination, sudden desaturation (Sat O2 63%) with hypovigilance increasing to coma, flaccid quadriplegia observed during transport. Arrival at emergency at 3:54 p.m., GCS 3, TA 170/70 mmHg, HR 80 bpm, blood glucose 10 mmol / l, 98% saturation under 9L of oxygen, auscultation with symmetrically reduced mV, breathing through the mouth, absence of polypnea, abdomen supple without guarding. Neurological examination with flaccid quadriplegia, no ROT, reactive symmetrical pupils, (suspicion of anisocoria), suspicion of right facial paralysis. Biological Examination were as follows: Blood gas: pH 7,11 - PO2 232 - PCO2 131. NF with leucoytes 10.4 G / L, PNN 8.4 G / L, Hb 16.4 g / l, platelets 331 G / L, PT 52%, TCA 40, CRP 0,8, Na + 141 mmol / l, K + 5 mmol / l, Ca 2.37, Cl 99 mmol / l, creatinine 45 micromol / l, DFG 95 ml / min, Urea 9.9 mmol / l, protein 69 g / L, albumin 37 g, ASAT 25, ALAT 30, GammaGT 13, PAL 103, Lipase 35, fasting blood sugar, 1.56 g / l, troponin 10.9 (without further details), BNP 56, Other explorations: RSR ECG, no polarization disorder, brain MRI: no stroke, sequelae of old stroke, no bleeding. Development: With regard to the general condition and risk of death, decision on comfort care after collegial discussion. In the hypothesis of an aa status epilepticus, treatment with levetiracetam 3.5 g slow IV, no improvement. Treatment with morphine and midazolam in the face of pain and polypnea facies (40 rpm). Death noted at 10:30 am the next day (03Feb2021). Autopsy information was unknown. Details of treatment, pre-vaccination context, exploratory workup and death, cause of death and date. N.B.: Accountability "without prejudice to elements of investigations that might be performed for legal or indemnity purposes." No follow-up attempts are possible. No further information expected.; Reported Cause(s) of Death: Death; Hypoxia/Severe hypoxia (O2 Sat 63%); flaccid quadriplegia

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1081810&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