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From the 11/12/2021 release of VAERS data:

This is VAERS ID 1378706

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Case Details

VAERS ID: 1378706 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2020-11-26
Onset:2021-05-04
   Days after vaccination:159
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW6126 / 1 - / OT
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / OT
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / UNK - / OT

Administered by: Other       Purchased by: ?
Symptoms: Abdominal distension, Abdominal pain, Apathy, Back pain, Blood pressure increased, Computerised tomogram abdomen, Fatigue, Hepatic haemorrhage, Hyperhidrosis, Malaise, Pallor, Post vaccination syndrome
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Retroperitoneal fibrosis (broad), Dementia (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Depression (excl suicide and self injury) (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-05-13
   Days after onset: 9
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Gastrointestinal stromal tumor
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210512; Test Name: Abdomen CT; Result Unstructured Data: Test Result:Abdominal CT with and without contrast; Comments: Abdominal CT with and without contrast: liver metastasis in V with data of apparently active arterial contrast extravasation dependent on the right hepatic artery, which conditions moderate hemoperitoneum. Fill defect in the right hepatic artery as it passes through the vicinity of the metastasis. Significant increase in liver metastasis size compared to previous exploration (it has gone from 27 mm to 69 mm), with numerous foci of contrast extravasation in its interior and rupture to the peritoneum. Also enlargement of the retroperitoneal mass in the pancreatectomy bed, which pulls and invades the adjacent structures, including the right ureter, complete invasion of the inferior vana cava, main portal vein, splenic vein and previously formed collateral branches, with ischemia splenic and diminished spleen size.
CDC Split Type: ESPFIZER INC2021590791

Write-up: nonspecific malaise and a certain local (inflammatory); Uncommon nonspecific digestive symptoms (bloating, back pain, fatigue and apathy).; Uncommon nonspecific digestive symptoms (bloating, back pain, fatigue and apathy).; Uncommon nonspecific digestive symptoms (bloating, back pain, fatigue and apathy).; Uncommon nonspecific digestive symptoms (bloating, back pain, fatigue and apathy).; Crisis of abdominal pain, with great reaction of sweating, paleness, elevation of BP,; Crisis of abdominal pain, with great reaction of sweating, paleness, elevation of BP,; Crisis of abdominal pain, with great reaction of sweating, paleness, elevation of BP,; elevation of BP; Hepatic haemorrhage; Post vaccination syndrome; This is a spontaneous report from a contactable consumer downloaded from the regulatory authority-WEB and received via Regulatory Authority ES-AEMPS-870818.A 35-years-old male patient received bnt162b2 (COMIRNATY), dose 1 intramuscular on 04May2021 (Batch/Lot Number: EW6126) as 1ST DOSE, SINGLE for covid-19 immunisation; sunitinib malate (SUTENT), oral from 05Feb2021 (Batch/Lot Number: Unknown) to an unspecified date, at 60 mg, cyclic (2 times for week every 28 days) for an unspecified indication; bemiparin sodium (HIBOR), subcutaneous from 26Nov2020 (Batch/Lot Number: Unknown) to an unspecified date, at 1 DF, 1x/day for Mesenteric artery thrombosis. Medical history included Gastrointestinal stromal tumor from 2014 and ongoing. The patient''s concomitant medications were not reported. The patient previously took imatinib for gastrointestinal stromal tumour. He had Post vaccination syndrome on 04May2021.For 48 hours he had a nonspecific malaise and a certain local (inflammatory) reaction. On 08 and 09May2021,he experienced uncommon nonspecific digestive symptoms (bloating, back pain, fatigue and apathy).On 10May21,he experienced crisis of abdominal pain, with great reaction of sweating, paleness, elevation of BP, etc. On 11May2021 at dawn the table from the previous day is accentuated or repeated, valued by 112, evacuated in Ambulance12May2021 Hepatic embolization: abdominal aortogram and selective arteriography of the right hepatic artery are performed. Effective embolization.13May21 In spite of everything, the patient evolves erratically, being death.Tumor bleeding is described in FT among the warnings and complications of SUTENT.The patient underwent lab tests and procedures which included computerised tomogram abdomen: abdominal ct with and without contrast on 12May2021 Abdominal CT with and without contrast: liver metastasis in V with data of apparently active arterial contrast extravasation dependent on the right hepatic artery, which conditions moderate hemoperitoneum. Fill defect in the right hepatic artery as it passes through the vicinity of the metastasis. Significant increase in liver metastasis size compared to previous exploration (it has gone from 27 mm to 69 mm), with numerous foci of contrast extravasation in its interior and rupture to the peritoneum. Also enlargement of the retroperitoneal mass in the pancreatectomy bed, which pulls and invades the adjacent structures, including the right ureter, complete invasion of the inferior vana cava, main portal vein, splenic vein and previously formed collateral branches, with ischemia splenic and diminished spleen size. The action taken in response to the event(s) for sunitinib malate was not applicable , for bemiparin sodium was dose not changed. Outcome of Hepatic haemorrhage was fatal, of Post vaccination syndrome and malaise was recovered, others was unknown.The patient died on 13May2021.It was not reported if an autopsy was performed. No follow-up attempts possible. No further information expected. Lot/batch number was provided; Reported Cause(s) of Death: Tumour haemorrhage


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