VAERS ID: 2448891

AGE: 54| SEX: M|STATE: FR (Unknown)

Description

cardiovascular accident; This is a spontaneous report received from a contactable reporter(s) (Other HCP) from Regulatory Authority. Regulatory number: PH-PHFDA-300155182. A 54-year-old male patient received BNT162b2 (COMIRNATY), on 26Aug2022 at 13:34 as dose 3 (booster), single (Lot number: PCB0015, Expiration Date: 22Jul2022) at the age of 54 years intramuscular, in left arm for covid-19 immunization. The patient's relevant medical history and concomitant medications were not reported. Vaccination history included: Covid-19 vaccine (primary immunization series, Dose 1, manufacturer unknown), for COVID-19 immunization; Covid-19 vaccine (primary immunization series, Dose 2, manufacturer unknown), for COVID-19 immunization. The following information was reported: CARDIOVASCULAR DISORDER (death) with onset 26Aug2022 at 14:05, outcome "fatal", described as "cardiovascular accident". The patient underwent the following laboratory tests and procedures: Blood pressure measurement: (26Aug2022) 130/70; (26Aug2022) 140/80, notes: before vaccination; Body temperature: (26Aug2022) 36.9; (26Aug2022) 36.6, notes: before vaccination; Heart rate: (26Aug2022) 78; (26Aug2022) 95, notes: before vaccination; Oxygen saturation: (26Aug2022) 95; (26Aug2022) 96, notes: before vaccination; Respiratory rate: (26Aug2022) 19; (26Aug2022) 19, notes: before vaccination; Weight: (26Aug2022) 42. Therapeutic measures were taken as a result of cardiovascular disorder. The patient date of death was 26Aug2022. Reported cause of death: "cardiovascular accident". Reviving the patient was continuously done. Hooked to oxygen, intravenous therapy started, 1 ampule epinephrine was given, at around 2:30 PM with no response noted, the patient was declared dead. Clinical course: The client came to the vaccination site in normal condition on August 26, 2022. He sat with other clients in the waiting area waiting for his name to be called. He was No. 19 on the list. After registering his name, he was counseled and taken vital signs with V/S: (BP-140/80, T-36.6, PR-95, RR-19, 02sat- 96, Wt-42). He was extremely willing to have a booster shot because of planning to travel for his son's graduation. After that, he was examined by a doctor for clearance to be vaccinated. He had his first booster dose at 1:34 pm, vaccinated with Pfizer vaccine with Lot# PCB0015 Exp date of July 2022 with an extended shelf life of October 2022 as per dated June 16, 2022. After he was vaccinated, he was advised to take a rest and wait for about 15mins or until his name will be called. His Post-vaccination vital signs that were taken at around 1:49 pm: were BP-130/70, T-36.9, PR-78, RR- 19, and SPO2-95. He was advised to take it slowly going back to their home as the weather was very sunny at that time of the day. At 2:00 pm the client went home by foot together with his nephew. 5minutes walk from the vaccination site, the client complained to his nephew that he was dizzy but upon turning his nephew's head, he was already on the ground. His nephew mentioned that the client fell backward. The client was rescued at 2:05 pm. BP cannot be heard, pulsation was palpatory. CPR did on-site and then transferred to a health station. Reviving the patient was continuously done. Hooked to oxygen, intravenous therapy started, 1 ampule epinephrine was given. at around 2:30 pm with no response noted, the patient was declared dead. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: cardiovascular accident

Open in Wayback Machine
(If this is a foreign report without a description you will be able to read the description in the Wayback Machine on Medalerts if the report became public for the first time before November 18, 2022.)

Symptoms

Cardiovascular disorder, Heart rate, Oxygen saturation, Body temperature, Weight, Respiratory rate, Blood pressure measurement

Vaccines

VAX DATE: 08-26-2022| ONSET DATE: 08-26-2022| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 3 COVID19 PFIZER\BIONTECH PCB0015 OT LA

RECVDATE:09-17-2022
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:08-26-2022
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Test Date: 20220826; Test Name: BP; Result Unstructured Data: Test Result:130/70; Test Date: 20220826; Test Name: BP; Result Unstructured Data: Test Result:140/80; Comments: before vaccination; Test Date: 20220826; Test Name: T; Result Unstructured Data: Test Result:36.9; Test Date: 20220826; Test Name: T; Result Unstructured Data: Test Result:36.6; Comments: before vaccination; Test Date: 20220826; Test Name: PR; Result Unstructured Data: Test Result:78; Test Date: 20220826; Test Name: PR; Result Unstructured Data: Test Result:95; Comments: before vaccination; Test Date: 20220826; Test Name: SPO2; Result Unstructured Data: Test Result:95; Test Date: 20220826; Test Name: SPO2; Result Unstructured Data: Test Result:96; Comments: before vaccination; Test Date: 20220826; Test Name: RR; Result Unstructured Data: Test Result:19; Test Date: 20220826; Test Name: RR; Result Unstructured Data: Test Result:19; Comments: before vaccination; Test Date: 20220826; Test Name: weight; Result Unstructured Data: Test Result:42
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:PHPFIZER INC202201140317
FORM_VERS:
TODAYS_DATE:09-12-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

Questions? Comments? Bugs?
[email protected]
Due to the high volume of inquiries, please be patient with response times.

AND PLEASE read the FAQ first.

OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.