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This is VAERS ID 1579276

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First Appeared on 8/20/2021

VAERS ID: 1579276
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-04-08
Onset:2021-05-20
Submitted:0000-00-00
Entered:2021-08-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, Oxygen saturation, Vaccination failure, Computerised tomogram thorax, Fraction of inspired oxygen, Haemodynamic test, Multiple organ dysfunction syndrome, COVID-19, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-06-23
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: PREDNISONE; ESOMEPRAZOLE; GAVISCON [ALGELDRATE;ALGINIC ACID;MAGNESIUM TRISILICATE;SODIUM BICARBONATE]; LERCANIDIPINE; PERINDOPRIL; NEOMERCAZOLE; IVABRADINE; SIMVASTATIN; SYMBICORT; LEDERFOLINE; DAFALGAN; UVEDOSE
Current Illness: Arthritis rheumatoid; Dialysis (awaiting transplantation); Dyslipidaemia; End stage renal failure; Goiter; Hypertension arterial; Hyperthyroidism; Type 2 diabetes mellitus
Preexisting Conditions: Medical History/Concurrent Conditions: Herpes zoster; Interstitial pneumonitis (interstitial lung disease with a favourable evolution in 2001 with probable sequelae); Phlebitis; Pneumocystosis; Thrombophlebitis
Allergies:
Diagnostic Lab Data: Test Date: 202106; Test Name: thoracic CT scan; Result Unstructured Data: Test Result:severe damage greater than 50%; Test Date: 20210622; Test Name: FiO2; Test Result: 100 %; Comments: During the night of 22Jun2021 to 23Jun2021; Test Date: 20210623; Test Name: FiO2; Test Result: 100 %; Comments: During the night of 22Jun2021 to 23Jun2021; Test Date: 20210607; Test Name: oxygen saturation; Test Result: 83 %; Test Date: 20210622; Test Name: oxygen saturation; Test Result: 80 %; Comments: During the night of 22Jun2021 to 23Jun2021; Test Date: 20210623; Test Name: oxygen saturation; Test Result: 80 %; Comments: During the night of 22Jun2021 to 23Jun2021; Test Date: 20210604; Test Name: sars-cov-2 PCR test; Test Result: Positive ; Test Date: 202106; Test Name: Hemodynamics; Result Unstructured Data: Test Result:deteriorated; Test Date: 20210520; Test Name: body temperature; Result Unstructured Data: Test Result:hyperthermia
CDC 'Split Type': FRPFIZER INC202101016176

Write-up: This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB, regulatory authority number FR-AFSSAPS-RN20212356. A 61-year-old female patient received bnt162b2 (COMIRNATY), dose 2 intramuscular on 08Apr2021 (Batch/Lot Number: Unknown) as dose 2, single, dose 1 intramuscular on 20Mar2021 (Batch/Lot Number: Unknown) as dose 1, single for covid-19 immunization. Medical history included thrombophlebitis from 2012, ongoing end-stage chronic renal failure, ongoing dialysis awaiting transplantation, ongoing arterial hypertension, ongoing type 2 diabetes mellitus, ongoing dyslipidaemia, ongoing Arthritis rheumatoid, pneumocystis in 2010, femoropopliteal phlebitis in 2012, goitre with ongoing hyperthyroidism, herpes zoster and Interstitial pneumonitis (interstitial lung disease with a favourable evolution in 2001 with probable sequelae). No known history of allergy. Covid-19 history was No. Concomitant medications included prednisone; esomeprazole; algeldrate, alginic acid, magnesium trisilicate, sodium bicarbonate (GAVISCON); lercanidipine; perindopril; carbimazole (NEOMERCAZOLE); ivabradine; simvastatin; budesonide, formoterol fumarate (SYMBICORT); calcium folinate (LEDERFOLINE); paracetamol (DAFALGAN); colecalciferol (UVEDOSE). On 20May2021 she presented with hyperthermia, myalgia and general deterioration. Positive PCR on 04Jun2021. Put on Augmentin for 7 days. On 07Jun2021, she was hospitalized in a specialized department due to increased dyspnea and desaturation at 83% after her usual dialysis session. The thoracic CT scan showed severe damage greater than 50%. No pleural effusion. During the night of 22Jun2021 to 23Jun2021, the patient''s respiratory status deteriorated with hypercapnic acidosis with major oxygen deprivation leading to desaturation of 80% despite a FiO2 of 100%. Hemodynamics deteriorated secondarily with increased doses of Noradrenaline up to 2 ug/kg/minute. Tazocillin and Amiklin were started on suspicion of septic shock with a pulmonary origin. The evolution towards a refractory multivisceral failure syndrome led to the death of the patient on 23Jun2021. In total, 61-year-old patient hospitalized for Covid-19 infection with severe respiratory failure leading to death, after vaccination with 2 doses of COMIRNATY. The patient died on 23Jun2021. It was not reported if an autopsy was performed. Outcome of the events was fatal. No follow-up attempts are possible. Information on batch/lot number cannot be obtained. No further information expected.; Reported Cause(s) of Death: Covid-19 infection with severe respiratory failure; multivisceral failure syndrome; Covid-19 infection with severe respiratory failure.

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