VAERS ID: 1417294

AGE: 69| SEX: F|STATE: NJ (United States)

Description

I am the epidemiologist for reporting on behalf of patient who tested positive for COVID-19 via PCR on 4/14/21 after the completion of a full Pfizer vaccine series (Dose 1 on 2/28 and Dose 2 on 3/21). The patient later died on 5/08/21. Cause of Death is listed as ?cardiopulmonary arrest; Anoxic encephalopathy; V. Fib cardiac arrest; Myocardial infaction?. Pre-existing conditions listed as: OTHER CHRONIC DISEASES, CARDIOVASCULAR DISEASE, IMMUNOCOMPROMISED CONDITION Case went to Hospital ER on 4/14 after experiencing chest pains for 2-3 days. Rapid COVID test on 4/14 was negative & PCR test on 4/14 was positive. Case remained in ER for retesting on 4/15 (PCR - negative) so she could be admitted to hospital for cardiac catheterization. Case reports having a mild fever at hospital on evening of 4/15 & morning of 4/16. Hospital Internist DX was mild case of COVID with elevated enzymes that indicated a cardiac event. Case is fully vaccinated (1st dose of Pfizer 2/28 & 2nd dose of Pfizer 3/21). Case has history of lupus & rheumatoid arthritis (immuno-suppressed). She receives PT 2-3x/week & biologic treatment (last infusion of Orencia was 4/13). Advised case to follow-up with her PCP & cardiac specialist. Case agreed to isolation guidelines. Case lives alone but has 2 adult sons who live nearby that will provide food drop-offs at door. Emailing vaccination breakthrough info to Epidemiologist & supervisors.nnn=======================nnApril 15, 2021 at 3:28 PM ET Left SMS/VM.

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Symptoms

Pyrexia, Chest pain, Cardiac arrest, Ventricular fibrillation, Myocardial infarction, Death, Cardio-respiratory arrest, Vaccine breakthrough infection, Hypoxic-ischaemic encephalopathy, Myocardial necrosis marker increased, SARS-CoV-2 test negative, COVID-19, SARS-CoV-2 test positive

Vaccines

VAX DATE: 03-21-2021| ONSET DATE: 04-14-2021| DAYS TO ONSET: 24
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EN6203 IM RA

RECVDATE:06-22-2021
RPT_DATE:
CAGE_YR:69
CAGE_MO:
DIED:Y
DATEDIED:05-08-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:PCR + 4/14
V_ADMINBY:
OTHER_MEDS:
CUR_ILL:
HISTORY:Pre-Existing Conditions: OTHER CHRONIC DISEASES, CARDIOVASCULAR DISEASE, IMMUNOCOMPROMISED CONDITION
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:06-22-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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