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This is VAERS ID 1584702

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First Appeared on 8/20/2021

VAERS ID: 1584702
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2020-01-17
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE2083 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Blood cholesterol, Chest pain, Electrocardiogram, Low density lipoprotein, Ultrasound scan, Sudden cardiac death, Blood pressure measurement

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-08-02
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: DOLATRAMYL; PREGABALIN SANDOZ; MALFIN; CIPRAMIL [CITALOPRAM HYDROBROMIDE]; FUCICORT; IMOVANE; SUMATRIPTAN MYLAN
Current Illness: Chronic back pain
Preexisting Conditions: Medical History/Concurrent Conditions: Depression; Infected eczema; Neuropathic pain; Pain; Sleeplessness.
Allergies:
Diagnostic Lab Data: Test Date: 202001; Test Name: Cholesterol total; Result Unstructured Data: Test Result:5.7; Comments: unit not specified; Test Date: 202001; Test Name: Blood pressure; Result Unstructured Data: Test Result: normal; Test Date: 20210802; Test Name: EKG; Result Unstructured Data: Test Result: continuingly measured, unknown; Test Date: 20210802; Test Name: EKG; Result Unstructured Data: Test Result: ventricle fibrillation found, then asystole; Test Date: 202001; Test Name: LDL; Result Unstructured Data: Test Result: 3.7; Comments: unit not specified; Test Date: 20210802; Test Name: Ultrasound scan; Result Unstructured Data: Test Result: stagnant cordis.
CDC 'Split Type': DKPFIZER INC202101045522

Write-up: sudden cardiac death, found lifeless after doing hedge trimming; Retrosternal chest pain on/off since 2nd vaccination; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB, regulatory authority number DK-DKMA-WBS-0082510. A 58-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE ,Lot Number: FE2083; Expiration Date: 31Oct2021) via an unspecified route of administration on 25Jun2021 as a dose 2 ,single for covid-19 immunisation, sumatriptan succinate (SUMATRIPTAN MYLAN), oral from 17Jan2020 (Batch/Lot Number: Unknown), at 100 mg as needed for migraine. Medical history included ongoing back pain, depression, pain, eczema infected, insomnia, neuralgia from an unknown date and unknown if ongoing. Concomitant medication(s) included tramadol hydrochloride taken for pain from 25Nov2015 to an unspecified stop date; pregabalin (PREGABALIN SANDOZ) taken for neuralgia from 18Feb2021 to an unspecified stop date; morphine sulphate taken for pain from 04May2017 to an unspecified stop date; citalopram hydrobromide taken for depression from 02Sep2019 to an unspecified stop date; betamethasone valerate, fusidic acid taken for eczema infected from 07Mar2016 to an unspecified stop date; zopiclone taken for insomnia from 24Jan2020 to an unspecified stop date. On 02Aug2021 the patient experienced sudden cardiac death, found lifeless after doing hedge trimming, on 26Jun2021 retrosternal chest pain on/off since 2nd vaccination. The patient was attempted treated with cardiopulmonary resuscitation when found lifeless. Upon arrival on the address. A detectable heart rhythm was found. The patient was given 5 direct current conversions, adrenaline and amiodaron i.o., without effect. The rhythm is primarily from ventricle fibrillation. The patient is transported with acute helicopter to a hospital and ventricle fibrillation is found using ultrasound. The patient was treated twice with direct current conversion and magnesium without effect, and the patient goes into asystole. The patient underwent lab tests and procedures which included blood cholesterol: 5.7 on Jan2020 unit not specified, blood pressure measurement: normal on Jan2020, low density lipoprotein: 3.7 on Jan2020 unit not specified. On 26Jun2021, the day after 2nd dose vaccination with Comirnaty, the patient developed Retrosternal chest pain (Retrosternal chest pain on/off since 2nd vaccination). Patient apparent to be a physical well and healthy and was not known to have any cardiovascular diseases or previous history with chest pain. The patient was attempted treated with cardiopulmonary resuscitation when found lifeless. Upon arrival on the address. A detectable heart rhythm was found. The patient was given 5 direct current conversions, adrenaline and amiodaron i.o., without effect. The rhythm was primarily from ventricle fibrillation. The patient was transported with acute helicopter to a hospital and ventricle fibrillation is found using ultrasound on 02Aug2021 which showed stagnant cordis. The patient was treated twice with direct current conversion and magnesium without effect. EKG continuingly measured, Ventricle fibrillation found and then patient gone to asystole. On 02Aug2021 the patient developed sudden cardiac death sudden cardiac death, found lifeless after doing hedge trimming). Physician had reported the death to the police and did not know if an autopsy will be performed. Respond from the Safety Authority awaits. Causality: The reporter states, that he is a summer substitute and has not seen the patient. All information in the report is from the patient''s electronic medical records. The reporter received information about the death of the patient and upon reading the patient''s medical records, the reporter started suspecting a possible relation between Comirnaty and the ADRs. The reporter also suspects Sumatriptan to be a possible suspected drug after reading the product resume However, nothing in the patient''s medical records suspects that the patient has reacted negatively to Sumatriptan before. There is no information weather the patient has experienced ADRs after the first dose vaccination with Comirnaty. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: Sudden cardiac death

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