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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||ET1831 / 2||- / OT|
Administered by: Other Purchased by: ??
Symptoms: Sepsis, Thrombophlebitis, Diffuse alveolar damage, Organising pneumonia
Life Threatening? Yes
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: UNASYN [SULTAMICILLIN]; FUROSEMID; TAZONAM; CEREBOKAN; NOVALGIN [METAMIZOLE SODIUM]; NEUROBION [CYANOCOBALAMIN;PYRIDOXINE HYDROCHLORIDE;THIAMINE DISULFIDE]; PANTOPRAZOLE; FENTANYL; HYDAL; VENDAL [MORPHINE SULFATE]; MUCOBENE
Current Illness: Acute renal insufficiency; Anthracosis; Dementia; Emphysema; Urinary tract infection; Urothelial carcinoma recurrent
Diagnostic Lab Data:
CDC 'Split Type': ATPFIZER INC2021521747
Write-up: chronic organizing focal florid pneumonia; Sepsis; with additional signs of diffuse alveolar damage; inflamed vascular thrombosis; This serious spontaneous report was received from a contactable Physician downloaded from the Regulatory Authority-WEB. The regulatory authority report number is AT-BASGAGES-2021-25676. An 88-years-old male patient received second dose of bnt162b2 (COMIRNATY), intramuscular on 18Mar2021 (Lot Number: ET1831) as 2nd dose, single for covid-19 vaccination. Medical history included ongoing anthracosis, ongoing emphysema, ongoing urinary tract infection, ongoing urothelial carcinoma recurrent, ongoing acute renal insufficiency and ongoing dementia. Concomitant medication(s) included sultamicillin (UNASYN); furosemide (FUROSEMID); piperacillin sodium, tazobactam sodium (TAZONAM); ginkgo biloba extract (CEREBOKAN); metamizole sodium (NOVALGIN); cyanocobalamin, pyridoxine hydrochloride, thiamine disulfide (NEUROBION); pantoprazole; fentanyl; hydromorphone hydrochloride (HYDAL); morphine sulfate (VENDAL); acetylcysteine (MUCOBENE). Patient received first dose of bnt162b2 (COMIRNATY) on 25Feb2021 for covid-19 immunisation. On 18Mar2021 the patient experienced chronic organizing focal florid pneumonia with additional signs of diffuse alveolar damage (Life-threatening) or with an inflamed vascular thrombosis (Life-threatening). The patient experienced sepsis (Life-threatening) on 18Mar2021. The patient was fatal for organizing pneumonia, not recovered for other events. The patient died on 18Mar2021 at 6:00 p.m. The autopsy determined cause of death was reported to be organizing pneumonia. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: chronic organizing pneumonia
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