VAERS ID: 2456299

AGE: 66| SEX: M|STATE: SD (United States)

Description

This is an instance of breakthrough COVID-19 disease after which death occurred. The individual was vaccinated with the Pfizer product on 04/05/2021, 04/26/2021, and 12/02/2021. They presented to hospital on 06/24/2022 with a strangulated ventral hernia and a small bowel obstruction. They were admitted same day. They experienced further complications of an anastomotic leak. They were transferred to a different hospital on 07/12/2022 for nursing care after their health continued to deteriorate. They transitioned to comfort care only. They tested positive for COVID-19 on 07/14/2022 and died on 07/15/2022. It is not well understood if the individual experienced COVID-19 symptoms since this was a medically complex situation and the individual had several underlying medical conditions.

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Symptoms

Death, General physical health deterioration, Vaccine breakthrough infection, Small intestinal obstruction, Abdominal hernia, COVID-19, SARS-CoV-2 test positive, Anastomotic leak

Vaccines

VAX DATE: 12-02-2021| ONSET DATE: 07-14-2022| DAYS TO ONSET: 224
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EW0150 SYR LA
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0169 SYR LA
COVID19 (COVID19 (PFIZER-BIONTECH)) 3 COVID19 PFIZER\BIONTECH 32030bd SYR LA

RECVDATE:09-23-2022
RPT_DATE:
CAGE_YR:66
CAGE_MO:
DIED:Y
DATEDIED:07-15-2022
L_THREAT:U
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:22
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:Chronic Kidney Disease, Osteoarthritis, Morbid Obesity with past gastric bypass; Hypothyroid (past thyroidectomy for non-follicular thyroid neoplasm), Hypertension, Likely Renal Cell Carcinoma (further work up not done); Lung Mass/nodule (further work up not done) At the time of the adverse event, they were experiencing complications related to a strangulated ventral hernia and a small bowel obstruction.
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:09-23-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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