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This is VAERS ID 1418204

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First Appeared on 6/25/2021

VAERS ID: 1418204
VAERS Form:2
Age:92.0
Sex:Male
Location:Foreign
Vaccinated:2021-03-19
Onset:2021-03-19
Submitted:0000-00-00
Entered:2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER7812 / 2 - / OT

Administered by: Other      Purchased by: ??
Symptoms: C-reactive protein, Death, Haemoglobin, Oxygen saturation, Respiratory rate, Throat irritation

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-03-20
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:
Current Illness: Anaemia postoperative
Preexisting Conditions: Medical History/Concurrent Conditions: Apoplexy; Arterial hypertension; C-reactive protein increased; Cognitive disorder; Delirium; Dysfunction thyroid; Femoral neck fracture; Fluid overload; Hypertensive heart disease; Lung disease (basal rattling noises above the Lungs and subtle lower leg edema on both sides.); Neurocognitive deficit; Prostatic hypertrophy; Prosthesis implantation; Spinal anaesthesia (a femoral neck fracture); Surgery (a femoral neck fracture); Tachycardia; Tongue dry
Allergies:
Diagnostic Lab Data: Test Date: 20210315; Test Name: C-reactive protein; Result Unstructured Data: Test Result:increased/ elevation; Test Date: 20210315; Test Name: HB; Result Unstructured Data: Test Result:9.8 g/dl; Test Name: Saturation; Test Result: 98 %; Test Name: Respiratory rate; Result Unstructured Data: Test Result:16; Comments: /min
CDC 'Split Type': DEPFIZER INC2021704793

Write-up: approx. 20 hours after the 2nd vaccination, the patient was found lifeless in bed on 20MAr2021. Apart from some scratching of the throat on 19Mar2021 at about 17:00, no complaints were made.; approx. 20 hours after the 2nd vaccination, the patient was found lifeless in bed on 20Mar2021. Apart from some scratching of the throat on 19Mar2021 at about 17:00, no complaints were made.; This is a spontaneous report from a non-contactable consumer downloaded from the Regulatory Authority-WEB, regulatory authority number DE-PEI-CADR2021035975, Safety Report Unique Identifier DE-PEI-202100023396. A 92-years-old male patient received bnt162b2 (COMIRNATY), via intramuscular, on 19Mar2021 (Lot Number: ER7812), at the age of 92-years-old, as dose 2, 0.3 ml single for COVID-19 immunisation. Medical history included Hypertensive heart disease, Arterial hypertension, Neurocognitive deficit from 2014 , fluid overload, Apoplexy from 2014, a cementless dual head prosthesis from 27Jan2021, thyroid dysfunction, prostatic hypertrophy, slightly tachycardic heart rate, Lung disease (basal rattling noises above the Lungs and subtle lower leg edema on both sides), dry tongue, C-reactive protein increased from 15Mar2021, cognitive deficit, differential diagnosis of delirium, femoral neck fracture, all unknown if ongoing, surgery under spinal anaesthesia for a femoral neck fracture on 15Mar2021 and ongoing Anaemia postoperative. The patient previously received first dose of Comirnaty for Covid-19 immunisation. The patient''s weight was 75 kg, and height was 168 cm. No concomitant medication was reported. On 19Mar2021 at 17:00 the patient experienced throat irritation. The event was reported as non-serious. Approx. 20 hours after the 2nd vaccination, the patient was found lifeless in bed on 20Mar2021 at 6:55 am. Apart from some scratching of the throat on 19Mar2021 at about 17:00, no complaints were made. The patient''s outcome was not recovered for throat irritation, fatal for cause of death unknown. The subject underwent lab tests and procedures which included C-reactive protein increased/ elevation on 15Mar2021, HB 9.8 g/dl on 15Mar2021, Respiratory rate 16/minute on an unknown date, SpO2 saturation 98% on an unknown date. This report was serious: death. The patient died on 20Mar2021. It was not reported if an autopsy was performed. Senders comments: Do you or the person concerned have any known allergies? If yes, which ones? No. Information on risk factors or previous illnesses. Condition after surgery under spinal anaesthesia on 15Mar2021, postoperative anaemia (HB 9.8 g/dl) and CRP elevation, slight hyperhydration, arterial hypertension and hypertensive heart disease, condition after apoplexy in 2014, cognitive deficit, differential diagnosis of delirium. The patient was otherwise circulatory stable, otherwise the transferring hospital would not have organised transport to the vaccination centre. It is questionable whether the reaction - scratching of the throat - was related to the death / The pat. was in hospital from 14Mar2021 to 19Mar2021 due to a femoral neck fracture and was operated on 15Mar2021. On 19Mar2021 he was transferred to another hospital for further treatment in geriatrics, but before that the patient was administered the second BionTech vaccination dose in the vaccination centre privacy. This is an elderly 92-year-old patient with the following diagnoses: Discharge diagnoses: Periprosthetic fracture on the left with application of 2 femoral shaft cerclages on 15Mar2021. Condition after implantation of a cementless dual head prosthesis on the left on 27Jan2011. Secondary diagnoses: condition after humeral head fracture on the left, condition after apoplexy in 2014, arterial hypertension with hypertensive heart disease, thyroid dysfunction, prostatic hypertrophy. Clinically, the patient showed a slightly tachycardic heart rate, basal rales over the lungs and subtle lower leg oedema on both sides on admission (11:00 h, administrative admission 10:18 h). Respiratory rate 16/minute, SpO2 saturation 98%. The tongue was dry. Patient was awake, superficially oriented, short-term memory impaired. Word-finding difficulties. No signs of allergic skin reaction or dyspnoea. Patient was cardiopulmonarily stable. On 19Mar2021, the patient expressed to his relatives by telephone that he had a little scratchy throat. The evening and night''s rest were unremarkable. The night nurse did not notice any abnormalities. The patient was found dead in bed at 6:55 am on 20Mar2021 - about 21 hours after vaccination. With the cause of death unclear, the criminal investigation department was notified. The report is made because of the temporal connection with the second vaccination. Relatedness of drug to reaction(s)/event(s) for all events D. Unclassifiable. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Unknown cause of death

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