VAERS ID: 1676730

AGE: 76| SEX: M|STATE: FR (Unknown)

Description

Pneumonia aspiration; Vomiting; sputum; queasy; respiratory failure; cardiac function decreased; pyrexia of 39.0-39.9 degrees Celsius; This is a spontaneous report from a contactable physician received from the Regulatory authority. Regulatory authority report number is v21125208. A 76-year and 11-month-old male patient received BNT162B2 (COMIRNATY, Solution for injection, Lot number EY3860, Expiration date 31Aug2021) via an unspecified route of administration, on 02Aug2021 at 14:20, at the age of 76-year-old, as dose 2, single, for COVID-19 immunization. Medical history included hemodialysis since 2011 for chronic kidney disease due to type 2 diabetes mellitus. On 26May2021, the patient had strangulation ileus, for which surgery was performed at another hospital. On 07Jun2021, the patient was diagnosed with disuse syndrome. The patient had no family history. Concomitant medications were not reported. Historical vaccine included BNT162B2 (COMIRNATY, Solution for injection, Lot number and expiration date unknown) via an unspecified route of administration, on 12Jul2021 at 14:20, at the age of 76-year-old, as dose 1, single, for COVID-19 immunization. On 28Jun2021, the patient was transferred to the reporting hospital for rehabilitation. Physiotherapy and occupational therapy were performed. Body temperature before vaccination on 02Aug2021 was 37.6 degrees centigrade. On 02Aug2021 (the day of vaccination), the patient had pyrexia of 39.0-39.9 degrees Celsius, and an antipyretic was used. On 03Aug2021 at 17:00 (one day/2 hours/40 minutes after the vaccination), the patient experienced pneumonia aspiration and vomiting; the patient had sputum, queasy, and vomiting. Thereafter, the patient had respiratory failure and cardiac function decreased. The reporting physician classified the events pneumonia aspiration and vomiting as serious (death) and assessed the causality between the events pneumonia aspiration and vomiting and BNT162B2 as unassessable. Other possible causes of the event such as any other diseases included strangulated ileus and chronic kidney disease. The reporting physician commented as follows: Since admission to the reporting hospital, the patient had never had queasy nor vomiting. However, approximately 15 hours after the second dose of BNT162B2 vaccination, the patient had vomiting, and he also had pneumonia aspiration. On 03Aug2021 at 21:48 (one day/7 hours/28 minutes after vaccination), the patient was confirmed dead. The outcome of the events pneumonia aspiration and vomiting was fatal while it was unknown for the other events. Causes of death were reported as pneumonia aspiration and vomiting. It was unknown if an autopsy was performed.; Reported Cause(s) of Death: Pneumonia aspiration; Vomiting

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Symptoms

Pyrexia, Vomiting, Nausea, Productive cough, Pneumonia aspiration, Respiratory failure, Body temperature, Cardiac dysfunction

Vaccines

VAX DATE: 08-02-2021| ONSET DATE: 08-02-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EY3860

RECVDATE:09-07-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:08-03-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Test Date: 20210802; Test Name: body temperature; Result Unstructured Data: Test Result:37.6 Centigrade; Comments: Before vaccination; Test Date: 20210802; Test Name: body temperature; Result Unstructured Data: Test Result:39.0-39.9 Centigrade; Comments: After vaccination
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Chronic kidney disease; Disuse syndrome; Haemodialysis; Occupational therapy; Physiotherapy; Strangulation ileus (surgery was performed); Surgery; Type 2 diabetes mellitus
PRIOR_VAX:
SPLTTYPE:JPPFIZER INC202101121499
FORM_VERS:
TODAYS_DATE:09-06-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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