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This is VAERS ID 980257

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 980257
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-08
Onset:2021-01-13
Submitted:0000-00-00
Entered:2021-01-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, Blood lactic acid increased, Intestinal dilatation, Intestinal ischaemia, Leukocytosis, Sepsis, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-13
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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: Covid-19 PCR; Result Unstructured Data: Test Result:no result yet
CDC 'Split Type': BEPFIZER INC2021073957

Write-up: Clinical signs of intestinal ischemia; since this morning 13/01/21 severe stomach pain; Sepsis; high lactate; Leukocytosis; Intestinal loops plotted on abdominal overview; This is a spontaneous report from a contactable physician downloaded from the Regulatory Agency. The regulatory authority report number is BE-FAMHP-DHH-N2021-75412. An 82-year-old female patient received BNT162B2 (COMIRNATY), via an unspecified route of administration on 08Jan2021 as single dose for covid-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient experienced the following events on 13Jan2021, which were serious as they involved hospitalization, and lead to death: clinical signs of intestinal ischemia; since this morning 13/01/21 severe stomach pain; sepsis; high lactate; leukocytosis; intestinal loops plotted on abdominal overview. Details were ad follows: the reporter noted that on entry, still fairly good blood count and ionogram, normal kidney function; high lactate and leukocytosis were noted. The patient''s condition rapidly deteriorated, she fell into sepsis and died. A CT was not performed. A Covid-19 PCR was performed on an unspecified date, but no results yet. The patient was on an unspecified anticoagulation therapy. The patient had included in her last will, that her life should not be prolonged in certain cases. The patient died on 13Jan2021. It was not reported if an autopsy was performed, but an autopsy has been requested. No follow-up ttempts are possible. No further information is expected. Information on batch/lot number cannot be obtained.; Reporter''s Comments: On entry, still fairly good blood count and ionogram, normal kidney function; ; high lactate and leucocytosis The patient''s condition rapidly deteriorated, she fell into sepsis and died. A CT is not performed. Covid-19 PCR performed but no result yet. General practitioner does not mention Covid-19 cases in the residential care centre. An autopsy has been requested. The patient was on anticoagulation therapy. The patient had included in her last will that her life should not be prolonged in certain cases.; Reported Cause(s) of Death: Intestinal loops plotted on abdominal overview

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