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This is VAERS ID 1202880

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1202880
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-02-21
Onset:2021-02-21
Submitted:0000-00-00
Entered:2021-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Blood alkaline phosphatase, Blood lactate dehydrogenase, Blood magnesium, Blood phosphorus, Blood potassium, Blood sodium, C-reactive protein, Cardiac failure, Computerised tomogram, Delirium, Dysphagia, Dyspnoea, Echocardiogram, Fatigue, Fibrin D dimer, Glomerular filtration rate, Incontinence, Malaise, Nausea, Paralysis, Pneumonia aspiration, Red blood cell count, Speech disorder, Troponin I, Chest scan, SARS-CoV-2 test

Life Threatening? Yes
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: PLAVIX; ATORVASTATIN; GINKGO BILOBA; CRANBERRY; MOVICOLON; CALCI CHEW D3; PANTOPRAZOLE
Current Illness: Hypercholesterolemia; Hypertension
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma; Ischaemia cerebral; Leg paresis; Paralysis arm; Sudden deafness; Torticollis; Zenker diverticulum (2008 Swallowing complaints due to Zenker''s diverticulum)
Allergies:
Diagnostic Lab Data: Test Date: 20210228; Test Name: CT scan; Result Unstructured Data: Test Result:no intracranial bleeding; Comments: CT scan of brain: showed no intracranial bleeding, showed an old infarction in thalamus and brain stem. Showed white matter injury conform.; Test Date: 20210224; Test Name: CRP; Result Unstructured Data: Test Result:19; Test Date: 20210224; Test Name: ECG; Result Unstructured Data: Test Result:SR, no ischaemia.; Comments: SR, no ischaemia, normal cardiac axis and conduction times; Test Date: 20210224; Test Name: D-dimer test; Result Unstructured Data: Test Result:4.312; Test Date: 20210224; Test Name: eGFR CKD-EPI; Result Unstructured Data: Test Result:56; Test Date: 20210301; Test Name: eGFR CKD-EPI; Result Unstructured Data: Test Result:58; Test Date: 20210224; Test Name: erythocytes; Result Unstructured Data: Test Result:5.17; Test Date: 20210225; Test Name: Corona PCR neg; Result Unstructured Data: Test Result:Negative; Test Date: 20210301; Test Name: Corona PCR neg; Result Unstructured Data: Test Result:Negative; Test Date: 20210224; Test Name: HS Troponine I; Result Unstructured Data: Test Result:7; Test Date: 20210224; Test Name: Alkaline Phosphatase; Result Unstructured Data: Test Result:130; Test Date: 20210224; Test Name: LD; Result Unstructured Data: Test Result:260; Test Date: 20210301; Test Name: magnesium; Result Unstructured Data: Test Result:1.07; Test Date: 20210302; Test Name: magnesium; Result Unstructured Data: Test Result:1.10; Test Date: 20210228; Test Name: Phosphate; Result Unstructured Data: Test Result:0.83; Test Date: 20210301; Test Name: Phosphate; Result Unstructured Data: Test Result:0.75; Test Date: 20210228; Test Name: potassium; Result Unstructured Data: Test Result:3.2; Test Date: 20210301; Test Name: potassium; Result Unstructured Data: Test Result:3.0; Test Date: 20210302; Test Name: potassium; Result Unstructured Data: Test Result:2.8; Test Date: 20210228; Test Name: sodium; Result Unstructured Data: Test Result:148; Test Date: 20210301; Test Name: sodium; Result Unstructured Data: Test Result:151; Test Date: 20210302; Test Name: sodium; Result Unstructured Data: Test Result:158; Test Date: 20210224; Test Name: X thorax; Result Unstructured Data: Test Result:No signs of pneumonia; Comments: No signs of pneumonia, no signs of decompensatio cordis. Possibly some volume loss left.
CDC 'Split Type': NLPFIZER INC2021370973

Write-up: with worsening cordial decompensation; aspiration pneumonia was suspected; Dyspnoea; Delirium; Nausea; more difficulty speaking; paralysis symptoms; Fatigue; Not feeling well; more difficulty swallowing; Incontinence; This is a spontaneous report received from a contactable consumer downloaded from the regulatory authority report number is NL-LRB-00490328. An 85-year-old female patient received bnt162b2 (COMIRNATY) lot number and expiration date not provided, via an unspecified route of administration on 21Feb2021 (Batch/Lot Number: Unknown) as single dose for covid-19 immunisation. Medical history included torticollis from 1990, asthma, leg paresis from 2011, Zenker diverticulum from 2008, paralysis arm from 2011, ischaemia cerebral from 2011, ongoing hypertension, sudden deafness from 2012 and ongoing hypercholesterolaemia. Concomitant medications included clopidogrel bisulfate (PLAVIX), atorvastatin, ginkgo biloba (GINKGO BILOBA), cranberry, macrogol, potassium chloride, sodium bicarbonate, sodium chloride (MOVICOLON) taken for an unspecified indication, start and stop date were not reported; calcium carbonate, colecalciferol (CALCI CHEW D3), pantoprazole. On 21Feb2021, the patient experienced delirium, nausea, more difficulty speaking, paralysis, fatigue, not feeling well, more difficulty swallowing and incontinence. The patient was hospitalized due to a suspected COVID-19 infection with dyspnoea and decline of her general health condition since vaccination. However, the patient tested negative twice. During hospitalization, the patient health deteriorated. It was the intention to start tube feeding due to dysphagia, but placement of the tube failed. The patient health condition further deterioraated and an aspiration pneumonia was suspected with aggravation of cardiac decompensation. Patient was adequately treated (not further specified) during 48 hours without improvement after with a palliative policy was agreed. The patient underwent lab tests and procedures which included on 04Feb2021 alkaline phosphatase: 130, lactate dehydrogenase: 260 and chest scan: no signs of pneumonia. No signs of pneumonia, no signs of decompensatio cordis. Possibly some volume loss left, CRP: 19, ECG: SR, no ischaemia normal cardiac axis and conduction times, D-dimer test: 4.312, erythrocytes: 5.17 and HS Troponine I 7. On 25Feb2021, Corona PCR negative. On 28Feb2021, lab test showed phosphorus: 0.83, potassium: 3.2, sodium: 148 and computerised tomogram: no intracranial bleeding. On 01Mar2021, magnesium: 1.07, phosphorus: 0.75, potassium: 3.0, sodium: 151, eGFR CKD-EPI: 58, Corona PCR negative. On 02Mar2021, magnesium: 1.10, potassium: 2.8, sodium: 151. The patient died on an unspecified date. It was not reported if an autopsy was performed. No follow-up attempts possible. No further information expected. Information on lot and batch numbers cannot be obtained.; Reporter''s Comments: BioNTech / Pfizer vaccine (Comirnaty) Past drug therapy BioNTech / Pfizer vaccine (Comirnaty): no paralysis symptoms, incontinence, delirium, increased difficulty swallowing and speaking ---------------------- Additional information ADR: The side effect occurs half a day after being vaccinated. These side effects increased over time. Nausea Hospitalization information: Delirium eci, suspected covid COVID-19 Previous COVID-19 infection: No. Other diagnostic procedures: see photo / attachment below; Reported Cause(s) of Death: Delirium; Nausea; Speech disorder; Paralysis; Fatigue; Malaise; Swallowing difficult; Incontinence; Dyspnoea; with worsening cordial decompensation; aspiration pneumonia was suspected

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