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This is VAERS ID 1427634

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First Appeared on 7/2/2021

VAERS ID: 1427634
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-05-14
Onset:2021-05-23
Submitted:0000-00-00
Entered:2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EX8680 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Abdominal pain upper, Aortic aneurysm rupture, Back pain, Loss of consciousness, Syncope, Shock haemorrhagic

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-05-27
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: Accident cerebrovascular (3 strokes in the past ); Smoker; Tethered cord syndrome
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': DEPFIZER INC2021687947

Write-up: Bleeding shock; Collapse; pain in the abdomen; loss of consciousness; Burst abdominal aortic aneurysm shortly after the 2nd vaccination with Biontech; stabbing pain in the stomach; Severe back pain; This is a spontaneous report from a non-contactable consumer or other non hcp downloaded from the Regulatory Authority-WEB, regulatory authority number DE-PEI-CADR2021092168, Safety Report Unique Identifier DE-PEI-202100085377. A 71-year-old male patient received bnt162b2 (COMIRNATY, strength:0.3 ml), dose 2 via an unspecified route of administration on 14May2021 (Lot Number EX8680), at single dose for COVID-19 immunisation. Medical history included Tethered cord syndrome, Accident cerebrovascular(3 strokes in the past), Smoker, all ongoing. The patient previously took first dose of bnt162b2(COMIRNATY), on 14Apr2021 (strength:0.3 ml) for COVID-19 immunisation. The patient''s concomitant medications were not reported. On 23May2021, the patient experienced abdominal aortic aneurysm hemorrhage and burst abdominal aortic aneurysm shortly after the 2nd vaccination with Biontech. On 23May2021 for the first time stabbing pain in the stomach, which has subsided again. Severe back pain. On 26May2021 Collapse after pain in the abdomen, loss of consciousness, resuscitation and admission to the hospital. Diagnosis: ruptured abdominal aortic anheurysm. Operation using a tube prosthesis. Bleeding shock too strong, despite strong circulatory stabilizing drugs and 20 blood reserves, no improvement in condition. Died on 27May2021 in the morning. An autopsy was not performed. This report is serious - death, hospitalization. The outcome of the event "Burst abdominal aortic aneurysm shortly after the 2nd vaccination with Biontech" was fatal, of the event "stabbing pain in the stomach" was recovered, of the other events was unknown. Event assessment: Comirnaty/ Abdominal aortic aneurysm hemorrhage/Regulatory Authority/Inconsistent causal association to immunization Sender Comment: Do you or the person concerned have any known allergies? If so, which ones?No Information on risk factors or previous illnesses: Tethered Cord Syndrome, 3 strokes in the past, Smoker On 23May2021 for the first time stabbing pain in the stomach, which has subsided again. Severe back pain. On 26May2021 Collapse after pain in the abdomen, loss of consciousness, resuscitation and admission to the hospital. Diagnosis: ruptured abdominal aortic anheurysm. Operation using a tube prosthesis. Bleeding shock too strong, despite strong circulatory stabilizing drugs and 20 blood reserves, no improvement in condition. Died on 27May2021 in the morning. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Abdominal aortic aneurysm hemorrhage

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