VAERS ID: 940940

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

Description

heart pain; cardiac and respiratory arrest; cardiac and respiratory arrest; This is a spontaneous report from a contactable consumer or other non hcp received via regulatory authority. This consumer reported different fatal events for four patients. This is the first of four reports. A 63-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EK4175) via an unspecified route of administration on 03Jan2021 at single dose for covid-19 immunisation. Medical history included Nursing background, cardiac, intended for valve replacement surgery, diabetes mellitus (DM). The patient's concomitant medications were not reported. The patient was vaccinated on 03Jan2021 with the first dose. From the moment of the vaccine he complained about heart pain. Cardiopulmonary resuscitation (CPR) was performed by the persons on call without an electric shock, emergency services arrived after 5 minutes, resuscitation continued asystole on the monitor, received 4 doses of adrenaline IV, respiration through mask and ambu. After 20 minutes of resuscitation pupils do not respond to light, without heart sounds. The patient died from cardiac and respiratory arrest in Jan2021. It was not reported if an autopsy was performed. The outcome of event heart pain was unknown.; Sender's Comments: Linked Report(s) : IL-PFIZER INC-2021019632 Same reporter, same product, different patient/events.;IL-PFIZER INC-2021019633 Same reporter, same product, different patient/events.;IL-PFIZER INC-2021019634 Same reporter, same product, different patient/events.; Reported Cause(s) of Death: cardiac and respiratory arrest; cardiac and respiratory arrest

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Symptoms

Cardiac arrest, Cardio-respiratory arrest, Resuscitation

Vaccines

VAX DATE: 01-03-2021| ONSET DATE: 01-01-2021| DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EK4175

RECVDATE:01-13-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:Y
DATEDIED:01-01-2021
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:Test Name: monitor; Result Unstructured Data: Test Result:asystole; Test Name: heart sounds; Result Unstructured Data: Test Result:without heart sounds; Test Name: pupils; Result Unstructured Data: Test Result:pupils do not respond to light
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Cardiac disorder (intended for valve replacement surgery); Diabetes mellitus; Mobility decreased
PRIOR_VAX:
SPLTTYPE:ILPFIZER INC2021019507
FORM_VERS:
TODAYS_DATE:01-13-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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