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This is VAERS ID 1429129

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History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1429129
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-05-29
Onset:2021-06-08
Submitted:0000-00-00
Entered:2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Activated partial thromboplastin time, Acute myocardial infarction, Blood bicarbonate, Blood bilirubin, Blood calcium, Blood chloride, Blood creatinine, Blood glucose, Blood lactic acid, Blood magnesium, Blood phosphorus, Blood potassium, Blood sodium, Blood urea, Body temperature, Body temperature decreased, C-reactive protein, Chest X-ray, Echocardiogram, Electrocardiogram, Fibrin D dimer, Glomerular filtration rate, Haemoglobin, Lymphocyte count, Monocyte count, Nausea, Oxygen saturation, PCO2, Platelet count, PO2, Prothrombin time, Pyrexia, Ultrasound scan, White blood cell count, Base excess, pH body fluid, Investigation

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-08
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: SULFASALAZINE; FOLIC ACID; PERINDOPRIL ERBUMINE; PANTOPRAZOLE; HYDROXYCHLOROQUINE; CALCI CHEW D3; SIMVASTATIN; RISEDRONIC ACID; ETORICOXIB; METHOTREXATE; CLOPIDOGREL
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210607; Test Name: APTT; Test Result: 34 s; Test Name: base excess; Test Result: 10.0 mmol; Test Name: HCO3; Test Result: 20 mmol; Test Name: Bilirubin total; Result Unstructured Data: Test Result:22 umol/l; Test Date: 20210607; Test Name: Bilirubin total; Result Unstructured Data: Test Result:22 umol/l; Test Date: 20210607; Test Name: Calcium; Result Unstructured Data: Test Result:2.24 mmol/L; Test Date: 20210607; Test Name: calcium heart; Result Unstructured Data: Test Result:2.5 mmol/L; Test Name: Chloride; Result Unstructured Data: Test Result:100 mmol/L; Test Name: creatinine; Result Unstructured Data: Test Result:213 umol/l; Test Date: 20210607; Test Name: creatinine; Result Unstructured Data: Test Result:213 umol/l; Test Name: Glucose; Result Unstructured Data: Test Result:7.3 mmol/L; Test Name: lactate; Result Unstructured Data: Test Result:5.3 mmol/L; Test Date: 20210607; Test Name: Magnesium; Result Unstructured Data: Test Result:1.4 mmol/L; Test Date: 20210607; Test Name: Phosphate; Result Unstructured Data: Test Result:2.2 mmol/L; Test Name: Potassium; Result Unstructured Data: Test Result:5.1 mmol/L; Test Name: Sodium; Result Unstructured Data: Test Result:134; Test Date: 20210607; Test Name: Urea; Result Unstructured Data: Test Result:19.5 mmol/L; Test Date: 20210608; Test Name: body temperature; Result Unstructured Data: Test Result:37.5 to 38 Centigrade; Comments: fever; Test Name: body temperature; Result Unstructured Data: Test Result:35.4 Centigrade; Test Name: Chest X-ray; Result Unstructured Data: Test Result:Veil ring right; Test Date: 20210607; Test Name: C-reactive protein; Result Unstructured Data: Test Result:396 mg/l; Test Name: echo cor; Result Unstructured Data: Test Result:still heart; Test Name: ECG; Result Unstructured Data: Test Result:sinus rhythm 111/min, intermed axis, ST elevation; Comments: sinus rhythm 111/min, intermed axis, ST elevation V1-V2, ST-depression V3-V6, I aVL, elevation aVR.; Test Name: D-dimer; Result Unstructured Data: Test Result:more than 5000 ng/ml; Test Date: 20210607; Test Name: D-dimer; Result Unstructured Data: Test Result:more than 5000 ng/ml; Test Date: 20210607; Test Name: estimated glomerular filtration rate (CKD-EPI); Result Unstructured Data: Test Result:26; Comments: 26 ml/min/area; Test Name: hemoglobin; Result Unstructured Data: Test Result:8.3 mmol/L; Test Date: 20210607; Test Name: baso; Result Unstructured Data: Test Result:0.0 x10 9/l; Test Date: 20210607; Test Name: Ethylene oxide; Result Unstructured Data: Test Result:0.0 x10 9/l; Test Name: iCa++; Test Result: 1.21 mmol; Test Date: 20210607; Test Name: ingot; Result Unstructured Data: Test Result:1.5 x10 9/l; Test Name: pO2/FIO2 ratio; Result Unstructured Data: Test Result:48 mmHg; Test Date: 20210607; Test Name: segment; Result Unstructured Data: Test Result:26.8 x10 9/l; Test Name: t O2; Test Result: 6.2 mmol; Test Date: 20210607; Test Name: vacuoles; Result Unstructured Data: Test Result:1+; Test Date: 20210607; Test Name: lympho; Result Unstructured Data: Test Result:0.9 x10 9/l; Test Date: 20210607; Test Name: mono; Result Unstructured Data: Test Result:0.3 x10 9/l; Test Name: O2; Test Result: 100 %; Test Name: Oxygen saturation; Test Result: 75 %; Test Name: pCO2; Result Unstructured Data: Test Result:55 mmHg; Test Name: ph; Result Unstructured Data: Test Result:7.15; Test Name: platelets; Result Unstructured Data: Test Result:218 x10 9/l; Test Date: 20210607; Test Name: platelets; Result Unstructured Data: Test Result:218 x10 9/l; Test Name: pO2; Result Unstructured Data: Test Result:48 mmHg; Test Date: 20210607; Test Name: Prothrombin time; Test Result: 18.0 s; Test Name: echo lung; Result Unstructured Data: Test Result:Many B-lines on both sides; Test Date: 20210607; Test Name: Leukocytes; Result Unstructured Data: Test Result:29.5 x10 9/l
CDC 'Split Type': NLPFIZER INC2021688031

Write-up: STEMI; Fever: 37.5 to 38 centigrade inclusive; Nausea; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB, regulatory authority number NL-LRB-00571244. A 70-year-old male patient received second dose of BNT162B2 (COMIRNATY, strength: 0.3ml), via an unspecified route of administration on 29May2021 as single dose for covid-19 immunisation. The patient medical history was not reported. Concomitant medications included sulfasalazine; folic acid; perindopril erbumine; pantoprazole; hydroxychloroquine; calcium carbonate, colecalciferol (CALCI CHEW D3); simvastatin; risedronic acid; etoricoxib; methotrexate; clopidogrel. The patient previously took first dose of BNT162B2 (COMIRNATY), via an unspecified route of administration on an unspecified date as single dose for covid-19 immunisation. On 08Jun2021, the patient experienced ST-elevation myocardial infarction (STEMI), fever: 37.5 to 38 centigrade inclusive, nausea. The seriousness criteria for event STEMI was death. The patient underwent lab tests and procedures which included: On unspecified date, Bilirubin total 22 umol/l, Creatinine 213 umol/l, D-Dimer more than 5000 ng/ml, Platelets 218 x10 9/l, Electrocardiogram (ECG): sinus rhythm 111/min, intermed axis, ST elevation V1-V2, ST-depression V3-V6, I aVL, elevation aVR. Echo lung: Many B-lines on both sides. Echo heart: still heart, Chest X-ray: Veil ring right. Hemoglobin 8.3 mmol/l. Body temperature 35.4 Centigrade, O2 100%, pH 7.15, pCO2 55 mm Hg, HCO3 20 mmol/l, base excess 10.0 mmol/l, pO2 48 mm Hg, saturation O2 75%, t O2 6.2 mmol/l, pO2/FIO2 ratio 48 mmHg. Glucose 7.3 mmol/l, Sodium 134 mmol/l, Potassium 5.1 mmol/l, Chloride 100 mmol/l, iCa++ 1.21 mmol/l, Lactate 5.3 mmol/l. On 07Jun2021, Platelets 218 x10 9/l, Leukocytes 29.5 x10 9/l, segment 26.8 x10 9/l, Lymphocytes 0.9 x10 9/l, Monocyte 0.3 x10 9/l, Ethylene oxide 0.0 x10 9/l, baso 0.0 x10 9/l, ingot 1.5 x10 9/l, vacuoles 1+, Prothrombin time 18.0 sec, Activated partial thromboplastin time (APTT 34) sec, D-Dimer more than 5000 ng/ml. C-reactive protein (CRP) 396 mg/l, Calcium 2.24 mmol/l, calcium heart 2.50 mmol/l, Phosphate 2.2 mmol/l, Magnesium 1.4 mmol/l, Urea 19.5 mmol/l, Creatinine 213 umol/l, estimated glomerular filtration rate(CKD-EPI) 26 ml/min/area, Bilirubin total 22 umol/l. On 08Jun2021, body temperature: 37.5 to 38 centigrade, fever. Patient previous was not COVID-19 infection. The outcome of the event STEMI was fatal, for other events was unknown. The patient died on 08Jun2021. It was not reported if an autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: STEMI

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