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This is VAERS ID 1380536

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First Appeared on 7/9/2021

VAERS ID: 1380536
VAERS Form:2
Age:87.0
Sex:Male
Location:Foreign
Vaccinated:2021-01-26
Onset:2021-01-26
Submitted:0000-00-00
Entered:2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Acute myocardial infarction, Aspartate aminotransferase, Asthenia, Echocardiogram, Electrocardiogram, Fall, Viral myocarditis, Mobility decreased, Troponin, N-terminal prohormone brain natriuretic peptide

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-25
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Arterial hypertension; Atherosclerosis (80%); Bladder operation; Carotid endarterectomy; Chronic atrial fibrillation; Chronic kidney disease; Chronic obstructive lung disease; Coronary artery bypass graft; Myocardial infarction; Pulmonary hypertension; Type 2 diabetes mellitus (on treatment with oral antidiabetics (not specified)); Urinary bladder carcinoma
Allergies:
Diagnostic Lab Data: Test Date: 202102; Test Name: Aspartate aminotransferase; Result Unstructured Data: Test Result:increased; Comments: 5x higher; Test Date: 202102; Test Name: echocardiography; Result Unstructured Data: Test Result:MR II+, Ao R II, TR III+; Test Date: 202102; Test Name: ekg; Test Result: Negative ; Comments: negative T wave; Test Date: 202102; Test Name: NT-proBNP; Result Unstructured Data: Test Result:6500 ng/L; Test Date: 202102; Test Name: Troponin; Result Unstructured Data: Test Result:30 ng/ml; Test Date: 202102; Test Name: Troponin; Result Unstructured Data: Test Result:530 ng/ml; Test Date: 202102; Test Name: Troponin; Result Unstructured Data: Test Result:200 ng/ml; Test Date: 202102; Test Name: virus markers of myocarditis; Test Result: Negative ; Comments: virus markers of myocarditis (not specified. bacterial ethiology: unlikely
CDC 'Split Type': SKPFIZER INC2021588381

Write-up: falling at home; Acute myocardial infarction/fresh myocardial infarction; progressive weakness; mobility impairment; This is a spontaneous report from two contactable physicians downloaded from the Regulatory Authority-WEB. Regulatory authority report number SK-SUKLSK-20214309. An 87-year-old male patient received BNT162B2 (COMIRNATY), intramuscular on 26Jan2021 (at the age of 87 years old; Batch/Lot number was not reported) as 1st dose, single for COVID-19 immunisation. Medical history included chronic atrial fibrillation, myocardial infarction, chronic obstructive lung disease, coronary artery bypass graft in 2006, atherosclerosis 80%, arterial hypertension, pulmonary hypertension, Type 2 diabetes mellitus on treatment with oral antidiabetics (not specified), chronic kidney disease, urinary bladder carcinoma, resection of urinary bladder in 2003, reoperation in 2012, and carotid endarterectomy. The patient''s concomitant medications were not reported. The patient was vaccinated with first dose of COMIRNATY on 26Jan2021. After the first dose vaccine administration on 26Jan2021, the patient experienced progressive weakness and mobility impairment. Prior to vaccination, the patient was able to go up the stairs. On 18Feb2021, the patient was hospitalized after the falling at home. Laboratory tests in Feb2021 showed increased troponin with a progression (30 ng/mL; 200ng/mL; 530ng/mL), NT-proBNP (6500 ng/L), increased AST (5x higher). ECG: negative T wave and Echocardiography: MR II+, Ao R II, TR III+ in Feb2021. The patient experienced acute myocardial infarction on unspecified date. The physician assessed the patient''s health state as acute myocarditis with suspect toxic etiology after vaccination. Investigations were performed (not otherwise specified) - virus markers of myocarditis (not specified): negative, bacterial etiology: unlikely. The second dose of vaccine should have been administered on 24Feb2021. Because of suspect acute myocarditis the physician postponed the second dose of vaccine. On 25Feb2021 at 04:35 am, it was stated an exitus letalis. An autopsy was done. The pathologist reported autopsy-determined cause of death as fresh myocardial infarction, very serious atherosclerosis (80%), the state after coronary artery bypass graft (in 2006), the state after urinary bladder resection because of carcinomatosis (in 2003) and reoperation (in 2012). The pathologist excluded myocarditis, an autopsy confirmed fresh ischemic signs of acute myocardial infarction without lymphocytic/plasmocytes cellulisation, which were observed in histological heart samples. The pathologist reported that the death cannot be related to the vaccination. Outcome of fall, progressive weakness, and mobility impairment were unknown. The patient died due to acute myocardial infarction/fresh myocardial infarction on 25Feb2021 at 04:35 am. Sender''s Comment: This case was verified by the physician (pathologist) and the causality was assessed as not related to vaccination (unlikely). Lot/batch no.: unknown Reporter''s comment: 87-year-old polymorbid patient with chronic atrial fibrillation, after myocardial infarction and coronary artery bypass graft, with chronic kidney disease, after carotid endarterectomy 2015, diabetes mellitus type 2 on Peroral Antidiabetic Therapy, chronic obstructive lung disease, pulmonary hypertension, arterial hypertension, brought after the falling at home. 1st dose of anticovid-19 vaccine was administered 26Jan2021. Progressive weakness and mobility impairment (before the vaccination, the patient was able to go up the stairs), 18Feb2021 was hospitalized after the falling at home. Laboratory tests: high troponin with a progression (30; 200; 530), NT-proBNP (6500), 5xAST, ECG negative T wave, echocardiography MR II+, Ao R II, TR III+. Virus markers of myocarditis negative, bacterial etiology unlikely, possible toxic etiology after the vaccine? 2nd dose of the vaccine was planned 24Feb2021 postponed because of acute myocarditis, on 25Feb2021 at 4:35 a. m. it was stated an exitus letalis. Supplement from a doctor (pathology): The patient was necropsied. We didn''t have a mention about the vaccination in documentation. Cause of death as fresh myocardial infarction, very serious atherosclerosis (80% disability), the state after coronary artery bypass graft (2006). The state after urinary bladder resection because of carcinomatosis reoperation (2003, 2021). In the event of the death of (the patient), we exclude of myocarditis presence. Fresh ischemic changes of acute myocardial infarction without increased lympho/plasmocytes cellulisation are present in histological heart samples. The death is not related. No follow-up attempts are possible; information about batch number cannot be obtained.; Reported Cause(s) of Death: Acute myocardial infarction/fresh myocardial infarction

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