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This is VAERS ID 1298235

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First Appeared on 7/9/2021

VAERS ID: 1298235
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-03-31
Onset:2021-04-01
Submitted:0000-00-00
Entered:2021-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ET1831 / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, Computerised tomogram, Dyspnoea, Lymphadenopathy mediastinal, Pyrexia, Retinal artery embolism, Visual impairment, Computerised tomogram head, Ischaemia, Fluorescence angiogram, SARS-CoV-2 test negative, SARS-CoV-2 test, COVID-19 pneumonia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-04-19
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: PANTORC; MAALOX [ALUMINIUM HYDROXIDE;MAGNESIUM HYDROXIDE]; RENVELA; LASIX [FUROSEMIDE]; COUMADIN; NORVASC; LOBIVON; CITROSODINA
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arteriopathy (arteriopathy in uremic stage IV); Bleeding; Chronic kidney disease stage 5 (chronic kidney disease stage 5 under hemodialysis treatment); Chronic renal failure; Duodenal ulcer (duodenal ulcer with previous bleeding episodes); Gastric ulcer; Heart valvular prosthesis wearer (metal-type aortic valve prosthesis); Hemodialysis; Hepatitis C; Hyperacidity; Hyperphosphataemia; Hypertension arterial; Infection of amputation stump (polymicrobial foot stump infection (acinetobacter)); Nephrectomy (patient with one kidney since 2008); Papillitis optic (papillitis right eye)
Allergies:
Diagnostic Lab Data: Test Date: 20210401; Test Name: fever; Result Unstructured Data: Test Result:fever; Test Date: 20210402; Test Name: Computerised tomogram; Result Unstructured Data: Test Result:Multifocal, bilateral parenchymal thickening consi; Comments: Multifocal, bilateral parenchymal thickening consisting of areas of ground-glass in all lung lobes and extensive area of parenchymal consolidation in the right lower lobe are highlighted. Neither pleural nor pericardial effusion. Patency of the main airways. Some mediastinal lymph nodes enlarged. Picture compatible with infectious pulmonary foci of viral etiology attributable to SARS-CoV2; Test Date: 20210403; Test Name: Brain CT; Result Unstructured Data: Test Result:Severe atheroma of the posterior circulation, exte; Comments: Severe atheroma of the posterior circulation, extensive occipital hypo-attenuation area; Test Date: 20210409; Test Name: Fluorescence angiogram; Result Unstructured Data: Test Result:Central retinal artery embolism with nasal ischemi; Comments: Central retinal artery embolism with nasal ischemic areas; Test Date: 20210401; Test Name: SARS-CoV-2 PCR test; Test Result: Negative
CDC 'Split Type': ITPFIZER INC2021496775

Write-up: onset of fever, dyspnoea, reduced vision, retinal artery embolism, nasal ischemic areas, bilateral SARS-CoV-2 pneumonia, mediastinal lymphadenopathy, negative SARS-Cov2 swab.; onset of fever, dyspnoea, reduced vision, retinal artery embolism, nasal ischemic areas, bilateral SARS-CoV-2 pneumonia, mediastinal lymphadenopathy, negative SARS-Cov2 swab.; onset of fever, dyspnoea, reduced vision, retinal artery embolism, nasal ischemic areas, bilateral SARS-CoV-2 pneumonia, mediastinal lymphadenopathy, negative SARS-Cov2 swab.; onset of fever, dyspnoea, reduced vision, retinal artery embolism, nasal ischemic areas, bilateral SARS-CoV-2 pneumonia, mediastinal lymphadenopathy, negative SARS-Cov2 swab.; onset of fever, dyspnoea, reduced vision, retinal artery embolism, nasal ischemic areas, bilateral SARS-CoV-2 pneumonia, mediastinal lymphadenopathy, negative SARS-Cov2 swab.; onset of fever, dyspnoea, reduced vision, retinal artery embolism, nasal ischemic areas, bilateral SARS-CoV-2 pneumonia, mediastinal lymphadenopathy, negative SARS-Cov2 swab.; onset of fever, dyspnoea, reduced vision, retinal artery embolism, nasal ischemic areas, bilateral SARS-CoV-2 pneumonia, mediastinal lymphadenopathy, negative SARS-Cov2 swab.; onset of fever, dyspnoea, reduced vision, retinal artery embolism, nasal ischemic areas, bilateral SARS-CoV-2 pneumonia, mediastinal lymphadenopathy, negative SARS-Cov2 swab.; This is as spontaneous report received from a contactable physician downloaded from a regulatory authority-WEB. The regulatory authority report number is IT-MINISAL02-721031. A 76-year-old male patient received bnt162b2 (COMIRNATY, Solution for injection), dose 1 intramuscular on 31Mar2021 (Lot Number: ET1831) as 0.3 mL, single for COVID-19 immunisation. Medical history included optic neuritis from an unknown date and unknown if ongoing (papillitis right eye), Heart valvular prosthesis wearer from an unknown date and unknown if ongoing (metal-type aortic valve prosthesis), Chronic kidney disease stage 5 from an unknown date and unknown if ongoing (chronic kidney disease stage 5 under hemodialysis treatment), Chronic renal failure from an unknown date and unknown if ongoing , Infection of amputation stump from an unknown date and unknown if ongoing (polymicrobial foot stump infection (acinetobacter) ), nephrectomy from 2008 and unknown if ongoing (patient with one kidney since 2008), duodenal ulcer from an unknown date and unknown if ongoing (duodenal ulcer with previous bleeding episodes), Arteriopathy from an unknown date and unknown if ongoing (arteriopathy in uremic stage IV), Hepatitis C from an unknown date and unknown if ongoing, Gastric ulcer, Hyperacidity, Hyperphosphataemia, Hypertension arterial, hemodialysis and bleeding episodes. Concomitant medications included pantoprazole sodium sesquihydrate (PANTORC) taken for gastric ulcer; aluminium hydroxide, magnesium hydroxide (MAALOX) taken for Hyperacidity; sevelamer carbonate (RENVELA) taken for hyperphosphataemia; furosemide (LASIX) taken for Hypertension arterial; warfarin sodium (COUMADIN) taken for an unspecified indication; amlodipine besilate (NORVASC) taken for Hypertension arterial; nebivolol hydrochloride (LOBIVON) taken for Hypertension arterial; sodium citrate acid (CITROSODINA) taken for an unspecified indication. The patient previously took warfarin sodium (COUMADIN, 5mg tablets 30 divisible tablets (Teofarma S.R.L.) (B01AA03)) for embolism and experienced Gastric bleeding. The patient experienced onset of fever, dyspnoea, reduced vision, retinal artery embolism, nasal ischemic areas, bilateral sars-cov-2 pneumonia, mediastinal lymphadenopathy, negative sars-cov2 swab (death) on 01Apr2021. The patient underwent lab tests and procedures which included computerised tomogram: Multifocal, bilateral parenchymal thickening consisting of areas of ground-glass in all lung lobes and extensive area of parenchymal consolidation in the right lower lobe are highlighted. Neither pleural nor pericardial effusion. Patency of the main airways. Some mediastinal lymph nodes enlarged. Picture compatible with infectious pulmonary foci of viral etiology attributable to SARS-CoV2 on 02Apr2021, computerised tomogram head: Severe atheroma of the posterior circulation, extensive occipital hypo-attenuation area on 03Apr2021, fluorescence angiogram: Central retinal artery embolism with nasal ischemic areas on 09Apr2021, sars-cov-2 test: negative on 01Apr2021, body temperature: fever on 01Apr2021. Therapeutic measures were taken as a result of events. The patient died on 19Apr2021. It was not reported if an autopsy was performed. The outcome of events was fatal. Reporter Comment: After administration of the Comirnaty vaccine onset of fever, dyspnoea, reduced vision, central artery embolism, nasal ischemic areas, death.; Reporter''s Comments: After administration of the Comirnaty vaccine onset of fever, dyspnoea, reduced vision, central artery embolism, nasal ischemic areas, death.; Reported Cause(s) of Death: mediastinal lymphadenopathy; dyspnoea; reduced vision; retinal artery embolism; nasal ischemic areas; bilateral SARS-CoV-2 pneumonia; negative SARS-Cov2 swab; onset of fever

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