National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 990154

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 990154
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-07
Onset:2021-01-08
Submitted:0000-00-00
Entered:2021-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6795 / UNK - / OT

Administered by: Other      Purchased by: ??
Symptoms: Acute respiratory failure, Anxiety, Arrhythmia supraventricular, Atrial fibrillation, Blood creatinine, Blood potassium, Blood sodium, Body mass index, C-reactive protein, Cardio-respiratory arrest, Confusional state, Depressed level of consciousness, Dysarthria, Fall, Full blood count, Haemoglobin, Heart rate, Malaise, Oxygen saturation, Platelet count, Renal failure, Thrombocytopenia, White blood cell count, Cognitive disorder, Investigation, Procalcitonin, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-17
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: VITAMIN D 3; GABAPENTIN; LEVOTHYROX; ZOPICLONE
Current Illness: Tetraparesis (on narrow cervical canal)
Preexisting Conditions: Medical History/Concurrent Conditions: Hospitalization; Hypothyroidism; Junctional tachycardia (one episode in 2010, no rhythm disturbance since); Kyphoscoliosis (Severe); Malnutrition (BMI 16.5); Osteoporosis; Shingles
Allergies:
Diagnostic Lab Data: Test Date: 20210115; Test Name: creatinine; Result Unstructured Data: Test Result:187 umol/l; Test Date: 20210115; Test Name: potassium; Result Unstructured Data: Test Result:5.4 mmol/L; Comments: hyperkalaemia; Test Date: 20210115; Test Name: sodium; Result Unstructured Data: Test Result:133 mmol/L; Comments: hyponatremia; Test Name: BMI; Result Unstructured Data: Test Result:16.5; Test Date: 20210112; Test Name: CRP; Result Unstructured Data: Test Result:100 mg/l; Test Date: 20210115; Test Name: CRP; Result Unstructured Data: Test Result:186 mg/l; Test Date: 20210112; Test Name: CBC; Result Unstructured Data: Test Result:normal; Test Date: 20210115; Test Name: Hb; Result Unstructured Data: Test Result:13 g/dl; Test Date: 20210112; Test Name: Heart rate; Result Unstructured Data: Test Result:tachycardia 150 beats per minute; Test Date: 20210115; Test Name: Heart rate; Result Unstructured Data: Test Result:alternating episode of 150 bpm tachycardia and sin; Comments: alternating episode of 150 bpm tachycardia and sinus bradycardia; Test Date: 20210104; Test Name: biological assessment; Result Unstructured Data: Test Result:normal; Test Date: 20210112; Test Name: saturation; Test Result: 60 %; Test Date: 20210115; Test Name: saturation; Test Result: 92 %; Comments: O2 requested at 5 L; Test Date: 20210115; Test Name: thrombocytes; Result Unstructured Data: Test Result:96000; Comments: thrombocytopenia 96,000 / mm3; Test Date: 20210115; Test Name: PCT; Result Unstructured Data: Test Result:1 ug/L; Test Date: 20210115; Test Name: Covid CRP test; Test Result: Negative ; Test Date: 20210115; Test Name: leukocytes; Result Unstructured Data: Test Result:10000; Comments: PNN at 10,000 / mm3
CDC 'Split Type': FRPFIZER INC2021067661

Write-up: Cardio-respiratory arrest; renal failure; thrombocytopenia; cardiorespiratory decompensation; CHUTE; supraventricular arrhytmia; malaise with acute cardiorespiratory decompensation; atrial fibrillation; anxiety progressively worsening; Obnubilation; dysarthria; cognitive disturbances; CONFUSION; This is a spontaneous report from a contactable pharmacist downloaded from the regulatory authority-WEB. This is a report received from the regulatory authority. The regulatory authority report number is FR-AFSSAPS-MP20210050. A 96-year-old female patient received the bnt162b2 (COMIRNATY; Lot Number: EJ6795), intramuscularly on 07Jan2021 at a single dose for COVID-19 immunization. Medical history included osteoporosis from an unknown date and unknown if ongoing, ongoing tetraparesis (on narrow cervical canal) from an unknown date, kyphoscoliosis from an unknown date and unknown if ongoing (severe), hypothyroidism from an unknown date and unknown if ongoing, junctional tachycardia from 2010 to an unknown date (one episode in 2010, no rhythm disturbance since), shingles from 2018 to an unknown date, hospitalized in a cure center for the elderly from an unknown date and unknown if ongoing, stable undernourished state from an unknown date and unknown if ongoing (BMI 16.5). Concomitant medications included colecalciferol (VITAMIN D 3) taken for an unspecified indication from an unspecified date to an unspecified date (3 months), gabapentin (MANUFACTURER UNKNOWN) taken for neuropathic pain in the narrow cervical canal from an unspecified date to an unspecified date, levothyroxine sodium (LEVOTHYROX) taken for an unspecified indication from an unspecified date to an unspecified date, zopiclone (MANUFACTURER UNKNOWN) taken for an unspecified indication from an unspecified date to an unspecified date; no recent change in treatment. The patient experienced the following events and outcomes: cardio-respiratory arrest (death, medically significant) on 17Jan2021, obnubilation (death, medically significant) on 08Jan2021, atrial fibrillation (death, medically significant) on 12Jan2021, renal failure (death, medically significant) on 15Jan2021, confusion (death) on 08Jan2021, chute (death) on 12Jan2021, supraventricular arrhythmia (death) on 12Jan2021, dysarthria (death) on 08Jan2021, cognitive disturbances (death) on 08Jan2021, cardiorespiratory decompensation (death, medically significant) on 12Jan2021, malaise with acute cardiorespiratory decompensation (death) on 12Jan2021, anxiety progressively worsening (death) on 08Jan2021, thrombocytopenia (death, medically significant) on 15Jan2021; all reported as fatal. The clinical course was reported as follows: 04Jan2021: normal biological assessment. 08Jan2021: appearance of cognitive disorders with confusion, speech disorder, anxiety progressively worsening. Constants were normal. From the night from 11Jan2021 to 12Jan2021: the patient experienced a fall out of the bed, obnubilation. 12Jan2021: malaise with acute cardiorespiratory decompensation, on AFib (cardiac arrhythmia due to atrial fibrillation) with tachycardia at 150 bpm (AFib was not previously known, cardiologist opinion confirmed AFib and distinguished it from an attack of junctional tachycardia), saturation 60%, absence of fever. The patient''s biological assessment: isolated CRP at 100 (normal CBC); antibioprophylaxis and oxygen therapy. 14Jan2021: very altered clinical state, patient not very reactive, O2 needed. Despite correct figures, the doctor considered the prognosis to be vital and do not find any obvious somatic cause explaining this clinical situation. 15Jan2021: At the clinical level: no improvement, O2 requested at 5 L, saturation at 92%, no fever. Alternating episode of 150 bpm tachycardia and sinus bradycardia. 16Jan2021: dyspneic, the patient received 5 mg of morphine subcutaneously. 17Jan2021: patient deceased The patient underwent lab tests and procedures which included creatinine: 187 umol/l on 15Jan2021, potassium: 5.4 mmol/l on 15Jan2021 (hyperkalaemia), sodium: 133 mmol/l on 15Jan2021 (hyponatremia), body mass index (BMI): 16.5 on an unspecified date, c-reactive protein (CRP): 100 mg/l on 12Jan2021, c-reactive protein: 186 mg/l on 15Jan2021, full blood count (CBC): normal on 12Jan2021, haemoglobin (Hb): 13 g/dl on 15Jan2021, heart rate: tachycardia 150 beats per minute (bpm) on 12Jan2021, heart rate: alternating episode of 150 bpm tachycardia and sinus bradycardia on 15Jan2021, biological assessment: normal on 04Jan2021, saturation: 60 % on 12Jan2021, oxygen saturation: 92 % on 15Jan2021 (O2 requested at 5 L), thrombocytes: 96000 on 15Jan2021 (thrombocytopenia 96,000 / mm3), procalcitonin (PCT): 1 ug/l on 15Jan2021, COVID CRP test: negative on 15Jan2021, leukocytes: 10000 on 15Jan2021 (PNN at 10,000 / mm3). Therapeutic measures were taken as a result of atrial fibrillation, cardiorespiratory decompensation. The patient died on 17Jan2021 due to cardio-respiratory arrest. An autopsy was not performed.; Reported Cause(s) of Death: Cardio-respiratory arrest

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=990154&WAYBACKHISTORY=ON

Government Disclaimer on use of this data


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166