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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1380113

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Case Details

VAERS ID: 1380113 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Male  
Location: Foreign  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Coma, Death, Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-04-29
   Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Aphasia motor; Bedridden; Bladder catheterisation; Enteral nutrition (PEG); Haemorrhagic stroke (with residual deficit swallowing, and loss of sphincter control); Hemiparesis (right); Tracheostomy
Diagnostic Lab Data:
CDC Split Type: ITPFIZER INC2021590871

Write-up: lost lucidity, in sensory decay and comatose state; died; Vomiting and diarrhea; Vomiting and diarrhea; This is a spontaneous report received from a contactable physician downloaded from a regulatory authority-WEB. The regulatory authority report number is IT-MINISAL02-729014. A 82-year-old male patient received BNT162b2 (COMIRNATY), dose 2 via an unspecified route of administration on 27Apr2021 15:45 (Batch/Lot Number: EW6327) (age at vaccination was 82 years) as single dose for COVID-19 immunisation. Medical history included bedridden, suffering from right hemiparesis and motor aphasia, following a haemorrhagic stroke which occurred on 16Jan2020, with residual deficit swallowing, and loss of sphincter control. Therefore he was a carrier of tracheostomy, PEG (for enteral nutrition) and bladder catheter. Despite the aforementioned neurological deficits he maintained a good lucidity and did not present psychic deficits. He had a good state of nutrition and hydration, with a good hydroelectrolytic balance. Concomitant medication(s) included enoxaparin (ENOXAPARIN), omeprazole (OMEPRAZOLE), enalapril (ENALAPRIL), sertraline (SERTRALINE), metoclopramide (PLASIL); indication, start and stop date were not reported. He also received antibiotics in cycles in occasion of bladder catheter replacements or bladder washes, however very rare. The patient experienced vomiting and diarrhea on 27Apr2021, resolved on an unspecified date in Apr2021 (resolved quickly); lost lucidity, in sensory decay and comatose state the late night in two days following the vaccination (29Apr2021), not resolved and then died on 29Apr2021. Clinical course: following the second dose of BNT162b2 vaccine administered on 27Apr2021 in the early afternoon, an episode of vomiting and diarrhea arose in the evening, without a feverish reaction, which resolved quickly. In the late night in two days following the vaccination the patient lost lucidity and the progressive sensory decay suggested to the cohabiting caregiver to request the intervention of 118 (Emergency call). The patient then arrived to the emergency room in a comatose state which was quickly followed by death. The reporter did not know what was the diagnosis described by the colleagues in the emergency room of the hospital, nor what was the cause of death declared for a regulatory authority purposes. No autopsy was performed. Reporter''s comments: The notification of the adverse events and the outcome reached me from the family members on 01May2021. No follow-up attempts possible. No further information expected. Information on lot number already obtained.; Reporter''s Comments: The notification of the adverse events and the outcome reached me from the family members on 01May2021; Reported Cause(s) of Death: unknown

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