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This is VAERS ID 1235266

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1235266
VAERS Form:2
Age:83.0
Sex:Female
Location:Foreign
Vaccinated:2021-04-02
Onset:2021-04-02
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ET3674 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Arthralgia, Ecchymosis, Fatigue, Headache, Malaise, Myalgia, Nausea, Pneumonia, Ventilation/perfusion scan, Magnetic resonance imaging, Magnetic resonance imaging head

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died:2021-04-01
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: OXAZEPAM; COTRIMOXAZOL; ACENOCOUMAROL
Current Illness: Bladder infection; Cardiac failure
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: MRI scan abdomen; Result Unstructured Data: Test Result:full or faeces; Test Name: MRI head; Result Unstructured Data: Test Result:MRI because of suspected meningitis: negative; Test Name: lung scan; Result Unstructured Data: Test Result:Pneumonia
CDC 'Split Type': NLPFIZER INC2021409178

Write-up: pneumonia, which was fatal; extensive hematomas; Headache; Pain in the joints; Fatigue; Nausea; Not feeling well, became deathly ill; Muscle pain; This is a spontaneous report from a contactable other HCP downloaded from a regulatory authority-WEB manufacturer report number NL-LRB-00503249. This is the first case of two reports for the second dose. An 83-year-old female patient received bnt162b2 (COMIRNATY), dose 2 via an unspecified route of administration on 02Apr2021 (Lot Number: ET3674) at age of 83 years old as single dose for covid-19 immunisation. Medical history included ongoing cardiac failure, ongoing bladder infection. Concomitant medications included oxazepam; sulfamethoxazole, trimethoprim (COTRIMOXAZOL); acenocoumarol. The patient previously took bnt162b2 (COMIRNATY), dose 1 via an unspecified route of administration on 25Feb2021 at single dose for covid-19 immunisation and experienced malaise, sudden deafness, and nausea. On 02Apr2021, the patient experienced malaise, myalgia, fatigue, nausea, pneumonia, generalized joint pain. On 03Apr2021, the patient experienced headache. On an unknown date, the patient experienced ecchymosis. All events were fatal and life threatening. Nausea was treated with acetylcysteine (FLUIMICIL). The outcome of all events was fatal. The patient died in Apr2021. It was not reported if an autopsy was performed. Reporter''s Comments: BioNTech / Pfizer vaccine (Comirnaty) Past drug therapy BioNTech / Pfizer vaccine (Comirnaty): yes ADRs: Nausea and sudden deafness, and just not feeling well Date: 25Feb2021. Incredible deafness after first Pfizer vaccine. Additional information ADR: Mothers has become critically ill. Her complaints were only heart failure, but for the rest still up to date. Already a deterioration in hearing after the first vaccination. Last week cystitis, she asked the doctor if she could have a vaccination. No problem. Admitted to hospital with pneumonia on Saturday 03April which was fatal. Thanks vaccination. COVID-19 Previous COVID-19 infection: No. Other diagnostic procedures: MRI scan abdomen - full of faeces - MRI head due to meningitis (was not) - Lung photo - Pneumonia. No follow-up attempts are possible. No further information is expected.; Reporter''s Comments: BioNTech / Pfizer vaccine (Comirnaty) Past drug therapy BioNTech / Pfizer vaccine (Comirnaty): yes ADRs: Nausea and sudden deafness, and just not feeling well Date: 25Feb2021 Incredible deafness after first Pfizer vaccine ; Sender''s Comments: Linked Report(s) : NL-PFIZER INC-2021415031 same patient, different vaccine dose and events; Reported Cause(s) of Death: Malaise; myalgia; ecchymosis; fatigue; nausea; generalized joint pain; headache; pneumonia

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