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This is VAERS ID 1161741

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1161741
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Asthenia, Facial paralysis, Hypothermia, Septic shock, Slow speech

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
Current Illness: Colon operation (20 years ago due to a tumor background)
Preexisting Conditions: Medical History/Concurrent Conditions: Benign prostatic hyperplasia (with TAMSULOSIN); Colon neoplasm NOS; GERD; Hypertension; Paroxysmal atrial fibrillation
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ILPFIZER INC2021331664

Write-up: Hypothermia; weakness; slowness of speech; drooping at the corner of the mouth; septic shock; This is a spontaneous report from a contactable healthcare professional via Regulatory Authority line listing and was referring to patient number in the file. A 98-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot and expiry were not reported), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. Medical history included benign prostatic hyperplasia (BPH), hypertension, gastrooesophageal reflux disease (GERD), paroxysmal atrial fibrillation (PAF) and resection of the colon (in 2001) 20 years ago due to a tumor background. The patient''s concomitant medications were not reported. The patient previously took tamsulosin for BPH. Circumstances of death were hypothermia, weakness, slowness of speech, drooping at the corner of the mouth and septic shock all on an unknown date. The patient died due to hypothermia, weakness, slowness of speech, drooping at the corner of the mouth and septic shock on an unknown date. It was unknown if autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Sender''s Comments: Based on the current available information, the events are most likely related to an intercurrent or underlying condition which is not related to the suspected drug. The case will be reassessed if additional information becomes available. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to Regulatory Authorities, Ethics Committees and Investigators, as appropriate.,Linked Report(s) : IL-PFIZER INC-2020517122 Same source (Regulatory Authority),similar event, different patient and reporter (master case); Reported Cause(s) of Death: Hypothermia; weakness; slowness of speech; drooping at the corner of the mouth; Septic shock

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