VAERS ID: 1576824

AGE: 35| SEX: F|STATE: FR (Unknown)

Description

Subarachnoid haemorrhage; This is a spontaneous report from a contactable physician received from the Regulatory authority; report number is v21122809. A 35-years-old female patient received the second dose of BNT162B2 (COMIRNATY, Solution for injection) via an unspecified route of administration on 02Jul2021 16:00 (Lot Number: FC3661; Expiration Date: 30Sep2021) as dose 2, single (at age of 35-years-old) for covid-19 immunisation. Medical history included intellectual disability and sleep apnoea syndrome. The patient had no relevant family history. The patient's concomitant medications were not reported. Historical Vaccine included the first dose of BNT162b2 (COMIRNATY, Solution for injection, Lot number: FA2453, Expiration date: 31Aug2021) on 10Jun2021 as a single dose for COVID-19 immunization. On 13Jul2021 at 15:00 (11 days after the vaccination), the patient experienced subarachnoid haemorrhage. On 13Jul2021 at 16:39 (11 days after the vaccination), the patient died. It was not reported if an autopsy was performed. The course of the events was as follows: On 13Jul2021 at around 15:00, since the patient complained of headache, she took CALONAL 200 mg, 2 tablets, and then went to the restroom. When she returned from the restroom, she lost consciousness and collapsed. An ambulance was called, and she was transferred to a hospital where cardiopulmonary resuscitation was performed. However, at 16:39, the patient passed away. The patient underwent lab tests and procedures which included body temperature: 36.5 centigrade before vaccination on 02Jul2021. Outcome of the event was fatal. The reporting physician classified the event as serious (fatal outcome) and assessed the causality between the event and BNT162b2 as unassessable. There was no other possible cause of the event such as any other diseases. The reporting physician commented as follows: The event occurred 11 days after the second dose of the vaccination, therefore it could not be said that there was no causal relationship.; Reported Cause(s) of Death: Subarachnoid haemorrhage

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Symptoms

Subarachnoid haemorrhage, Body temperature

Vaccines

VAX DATE: 07-02-2021| ONSET DATE: 07-13-2021| DAYS TO ONSET: 11
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FC3661

RECVDATE:08-17-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:07-13-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Test Date: 20210702; Test Name: Body temperature; Result Unstructured Data: Test Result:36.5 Centigrade; Comments: Before vaccination
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Intellectual disability; Sleep apnoea syndrome
PRIOR_VAX:
SPLTTYPE:JPPFIZER INC202101023468
FORM_VERS:
TODAYS_DATE:08-16-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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