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This is VAERS ID 1244833

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1244833
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-04-01
Onset:2021-04-02
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ET3674 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Alanine aminotransferase, Aspartate aminotransferase, Blood albumin, Blood alkaline phosphatase, Blood calcium, Blood creatinine, Blood potassium, Blood sodium, Blood thyroid stimulating hormone, C-reactive protein, Eosinophil count, Epilepsy, Gamma-glutamyltransferase, Haematocrit, Haemoglobin, Lymphocyte count, Mean cell haemoglobin concentration, Mean cell volume, Monocyte count, Neutrophil count, Platelet count, Red blood cell count, White blood cell count, Red blood cell sedimentation rate, Basophil count, Renal function test, Investigation

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: CLOZAPINE; DEPAKINE [VALPROIC ACID]; IRBESARTAN; DOMPERIDON [DOMPERIDONE]; HYDROCHLOORTHIAZIDE; LEVODOPA/CARBIDOPA; DUODOPA INTESTINAL GEL; CLOZAPINE; DOMPERIDON [DOMPERIDONE]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Parkinson''s disease
Allergies:
Diagnostic Lab Data: Test Date: 20210402; Test Name: Alanine transaminase; Result Unstructured Data: Test Result:15 IU/l; Test Date: 20210402; Test Name: Aspartate transaminase; Result Unstructured Data: Test Result:20 IU/l; Test Date: 20210402; Test Name: Basophiles; Result Unstructured Data: Test Result:0; Comments: unit: 10^9/L; Test Date: 20210402; Test Name: albumine; Result Unstructured Data: Test Result:30 g/l; Comments: 30 = low; Test Date: 20210402; Test Name: Alk.pho; Result Unstructured Data: Test Result:177 IU/l; Test Date: 20210402; Test Name: Calcium; Result Unstructured Data: Test Result:2.32 mmol/L; Test Date: 20210402; Test Name: creatinine; Result Unstructured Data: Test Result:38 umol/l; Test Date: 20210402; Test Name: potassium; Result Unstructured Data: Test Result:3.1 mmol/L; Comments: 3.1= low; Test Date: 20210402; Test Name: Sodium; Result Unstructured Data: Test Result:140 mmol/L; Test Date: 20210402; Test Name: TSH; Result Unstructured Data: Test Result:0.91 MiU/L; Test Date: 20210402; Test Name: c-reactive protein; Result Unstructured Data: Test Result:<4 mg/l; Test Date: 20210402; Test Name: Eosinophiles; Result Unstructured Data: Test Result:0.1; Comments: unit: 10^9/L; Test Date: 20210402; Test Name: Gamma-glutamyltransferase; Result Unstructured Data: Test Result:18 IU/l; Test Date: 20210402; Test Name: Haematocrit; Result Unstructured Data: Test Result:0.34; Comments: 0.34 = low; Test Date: 20210402; Test Name: Hemoglobine; Result Unstructured Data: Test Result:6.5 mmol/L; Comments: 6.5 = low; Test Date: 20210402; Test Name: Red blood cell distribution width; Test Result: 14.6 %; Test Date: 20210402; Test Name: lymphocytes; Result Unstructured Data: Test Result:0.6; Comments: 0.6 = low unit: 10^9/L; Test Date: 20210402; Test Name: mean corpuscular hemoglobin concentration; Result Unstructured Data: Test Result:19.3 mmol/L; Test Date: 20210402; Test Name: mean cell volume; Result Unstructured Data: Test Result:94; Test Date: 20210402; Test Name: Monocytes; Result Unstructured Data: Test Result:0.5; Comments: unit: 10^9/l; Test Date: 20210402; Test Name: Absolute neutrophil count; Result Unstructured Data: Test Result:2.3; Comments: unit: 10^9/l; Test Date: 20210402; Test Name: platelets; Result Unstructured Data: Test Result:231; Comments: 231 = normal (range 150-400 unit: 10^9/L; Test Date: 20210402; Test Name: erythrocytes; Result Unstructured Data: Test Result:3.6; Comments: 3.6 = low unit: 10^12/l; Test Date: 20210402; Test Name: erythrocyte sedimentation rate; Result Unstructured Data: Test Result:2 mm/h; Test Date: 20210402; Test Name: eGFR (CKD-EPI); Result Unstructured Data: Test Result:96 ml/min; Test Date: 20210402; Test Name: leukocytes; Result Unstructured Data: Test Result:3.4; Comments: 3.4 = low unit: 10^9/L
CDC 'Split Type': NLPFIZER INC2021420868

Write-up: Epileptic seizure; This is as spontaneous report received from a contactable physician downloaded from the Regulatory Authority (RA). The regulatory authority report number is NL-LRB-00506254. An 80-year-old female patient received her first dose of BNT162B2 (COMIRNATY, Lot Number: ET3674), via an unspecified route of administration on 01Apr2021 at single dose for COVID-19 vaccination. Medical history included parkinson''s disease. Concomitant medications included clozapine tablet 25mg, valproic acid (DEPAKINE) tablet gastro-resistant tablet 300mg, irbesartan tablet 150mg, domperidone tablet 10mg, hydrochlorothiazide tablet 12.5mg, carbidopa, levodopa (LEVODOPA/CARBIDOPA) tablet 100/25mg, carbidopa, levodopa (DUODOPA INTESTINAL GEL) 20/5mg/ml, clozapine tablet 6.25mg and domperidone. There was no past drug therapy BioNTech / Pfizer vaccine (Comirnaty). There was no previous COVID-19 infection. The patient experienced epileptic seizure on 02Apr2021. The patient underwent lab tests included alanine transaminase: 15 IU/l (0-34IU/L), aspartate transaminase: 20 IU/l (0-31 IU/l), basophiles: 0 (0-0.15 unit 10^9/L), albumine: 30 g/l (35-52 g/l), Alk.pho: 177 IU/l (0-125 IU/l), calcium: 2.32 mmol/l (2.18-2.55 mmol/l), creatinine: 38 umol/l (48-113 umol/l), potassium: 3.1 mmol/l (3.5-5.3 mmol/l), sodium: 140 mmol/l (135-145 mmol/l), TSH: 0.91 MiU/L (0.4-4.0 MiU/L), c-reactive protein: <4 mg/l (0-10 mg/l), eosinophiles: 0.1 (0-0.7 unit:10^9/L), gamma-glutamyltransferase: 18 IU/l (0-38 IU/l), haematocrit: 0.34 (0.36-0.47), Hemoglobine: 6.5 mmol/l (7.5-10 mmol/l), Red blood cell distribution width: 14.6% (12-14%), lymphocytes:0.6 (1.5-4 unit: 10^9/L), mean corpuscular hemoglobin concentration: 19.3 mmol/L (19.3-22.5 mmol/L), mean cell volume: 94 (80-100), Monocytes: 0.5 (0.2-1.0 unit: 10^9/l), Absolute neutrophil count: 2.3 (1.8-7.3 unit: 10^9/l), platelets: 231 (150-400 unit: 10^9/L), erythrocytes: 3.6 (4.2-5.4 unit: 10^12/l), erythrocyte sedimentation rate: 2mm/h (1-30), eGFR (CKD-EPI): 96 ml/min, leukocytes: 3.4 (4.3-10 unit: 10^9/L), all on 02Apr2021. Epileptic seizure was treated with Depakine. The outcome of event was fatal. The patient died on an unspecified date. It was not reported if an autopsy was performed. Case Summary and Reporter''s Comments: BioNTech / Pfizer vaccine (Comirnaty) Past drug therapy BioNTech / Pfizer vaccine (Comirnaty): no Seizures Additional information ADR: 1-2x per day confounding factors confounding factors: Parkinson''s disease COVID-19 Previous COVID-19 infection: No. Other: diagnostic procedures: blood tests: erythrocyte sedimentation rate 2 mm / h 1 30 BSE B 1U HEMOGLOBIN * 6.5 mmol / l 7.5 10.0 HB B HEMATOCRITE * 0.34 l / l 0.36 0.47 HT B ERYTHROCYTES * 3.6 10! 12 / l 4.20 5.40 ERY B MT mean cell volume (MCV) 94 fl 80 100 MCV B mean corpuscular hemoglobin concentration (MCHC) 19.3 mmol / l 19.3 22.5 MCHCB Red blood cell distribution width (RDW )14.6% 12.0 16.0 RDW B MD PLATELS 231 10! 9 / l 150 400 TROMB MT LEUCOCYTES * 3.4 10! 9 / l 4.3 10.0 LEUKB MT Absolute neutrophil count 2.3 10! 9 / l 1.8 7.3 NEUTB MT LYMFOCYTES * 0.6 10! 9 / l 1.5 4.0 LYMFB MT MONOCYTES 0.5 10! 9 / l 0.2 1.0 MONOB MT EOSINOPHILES 0.1 10! 9 / l 0 0.7 EO B MT BASOPHILES 0.0 10! 9 / l 0 0.15 BASOB MT CLINICAL CHEMISTRY NAME N RESULT REF. VALUES G C SODIUM 140 mmol / l 135 145 NA B POTASSIUM * 3.1 mmol / l 3.5 5.3 K B CALCIUM 2.32 mmol / l 2.18 2.55 CA B CREATININ * 38 umol / l 48 113 KREAB Assessment of kidney function (eGFR (CKD-EPI)) 96 ml / min$g 60 KRECO FB Aspartate transaminase (AST (GOT)) 20 U / l 0 31 ASATB Alanine transaminase (ALT (GPT)) 15 U / l 0 34 ALATB Gamma-glutamyltransferase (GAMMA-GT_ 18 U / l 0 38 GGT B Alk.Pho * 177 U / l 0 125 AF B ALBUMIN * 30 g / l 35 52 ALB B C-REACTIVE PROTEIN CRP <4 mg / l 0 10 CRP B THYROID STIM.HORM. (TSH) 0.91 mE / l 0.4 4.0 TSH B No follow-up attempts possible. No further information expected. Information on lot# obtained.; Reporter''s Comments: BioNTech / Pfizer vaccine (Comirnaty) Past drug therapy BioNTech / Pfizer vaccine (Comirnaty): no Seizures Additional information ADR: 1-2x per day confounding factors confounding factors: Parkinson''s disease COVID-19 Previous COVID-19 infection: No. Other: diagnostic procedures: blood tests: erythrocyte sedimentation rate 2 mm / h 1 30 BSE B 1U HEMOGLOBIN * 6.5 mmol / l 7.5 10.0 HB B HEMATOCRITE * 0.34 l / l 0.36 0.47 HT B ERYTHROCYTES * 3.6 10! 12 / l 4.20 5.40 ERY B MT mean cell volume (MCV) 94 fl 80 100 MCV B mean corpuscular hemoglobin concentration (MCHC) 19.3 mmol / l 19.3 22.5 MCHCB Red blood cell distribution width (RDW )14.6% 12.0 16.0 RDW B MD PLATELS 231 10! 9 / l 150 400 TROMB MT LEUCOCYTES * 3.4 10! 9 / l 4.3 10.0 LEUKB MT Absolute neutrophil count 2.3 10! 9 / l 1.8 7.3 NEUTB MT LYMFOCYTES * 0.6 10! 9 / l 1.5 4.0 LYMFB MT MONOCYTES 0.5 10! 9 / l 0.2 1.0 MONOB MT EOSINOPHILES 0.1 10! 9 / l 0 0.7 EO B MT BASOPHILES 0.0 10! 9 / l 0 0.15 BASOB MT CLINICAL CHEMISTRY NAME N RESULT REF. VALUES G C SODIUM 140 mmol / l 135 145 NA B POTASSIUM * 3.1 mmol / l 3.5 5.3 K B CALCIUM 2.32 mmol / l 2.18 2.55 CA B CREATININ * 38 umol / l 48 113 KREAB Assessment of kidney function (eGFR (CKD-EPI)) 96 ml / min$g 60 KRECO FB Aspartate transaminase (AST (GOT)) 20 U / l 0 31 ASATB Alanine transaminase (ALT (GPT)) 15 U / l 0 34 ALATB Gamma-glutamyltransferase (GAMMA-GT_ 18 U / l 0 38 GGT B Alk.Pho * 177 U / l 0 125 AF B ALBUMIN * 30 g / l 35 52 ALB B C-REACTIVE PROTEIN CRP <4 mg / l 0 10 CRP B THYROID STIM.HORM. (TSH) 0.91 mE / l 0.4 4.0 TSH B; Reported Cause(s) of Death: epileptic seizure

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