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VAERS ID: 1000250

AGE: UNK| SEX: F|State: FR

Description

Sudden death; Vomit was found near the body.; This is a spontaneous report from contactable physician downloaded from the Agency (EMA) Agency-WEB BE-FAMHP-DHH-N2021-75651. A 80-year-old female patient received bnt162b2 (COMIRNATY, PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 09Jan2021 at single dose for covid-19 immunisation. The patient medical history included wheelchair-bound (Parkinson's, Parkinson's dementia), hip fracture in Oct2020 and mentally deteriorating so requiring care. Concomitant medication included cyanocobalamin, folic acid, pyridoxine hydrochloride (TRIBVIT), carvedilol (CARVEDILOL), calcium carbonate, colecalciferol (D VITAL FORTE), haloperidol (HALDOL), sertraline (SERTRALINE), l-thyroxine [levothyroxine] (L-THYROXINE [LEVOTHYROXINE]), nadroparin calcium (FRAXIPARINE), clonazepam (RIVOTRIL), pantoprazole (PANTOPRAZOLE), acetylsalicylic acid (DOMINAL [ACETYLSALICYLIC ACID]), caffeine, paracetamol (ALGOSTASE), fentanyl (DUROGESIC), macrogol 3350, potassium chloride, sodium bicarbonate, sodium chloride (LAXIDO). The patient experienced sudden death on 19Jan2021. The patient died on 19Jan2021. An autopsy was not performed. Outcome of the event was fatal. Reporter's comment: Reporter does not know if death is due to vaccination, but rather thinks not because of 'time to onset' of 11 days. Cause of death is unknown, however. Vomit was found near the body. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: sudden death

Symptoms

Death, Sudden death, Vomiting

Vaccines

VAX DATE: 09 January 2021 | ONSET DATE: 19 January 2021 | DAYS TO ONSET: 10
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))

        RECVDATE:
        04 February 2021
        CAGE_YR:
        CAGE_MO:
        RPT_DATE:
        DIED:
        Y
        DATEDIED:
        19 January 2021
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        N
        LAB_DATA:
        V_ADMINBY:
        OTH
        OTHER_MEDS:
        TRIBVIT; CARVEDILOL; D VITAL FORTE; HALDOL; SERTRALINE; L-THYROXINE [LEVOTHYROXINE]; FRAXIPARINE; RIVOTRIL; PANTOPRAZOLE; DOMINAL [ACETYLSALICYLIC ACID]; ALGOSTASE; DUROGESIC; LAXIDO
        CUR_ILL:
        HISTORY:
        Medical History/Concurrent Conditions: Hip fracture; Mental deterioration (requiring care); Parkinson's disease; Wheelchair user
        PRIOR_VAX:
        SPLTTYPE:
        BEPFIZER INC2021088925
        FORM_VERS:
        2
        TODAYS_DATE:
        03 February 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        V_FUNDBY:
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