VAERS ID: 1000268

AGE: UNK| SEX: M|State: FR

Description

Vomiting/food vomit; suspected heart attack; This is a spontaneous report from a contactable other healthcare professional downloaded from the Medicines Agency (MA) WEB ES-AEMPS-726097. An 80-years-old male patient received bnt162b2 (COMIRNATY), intramuscular on 04Jan2021 at 0.3 mL, single for covid-19 immunisation. Medical history included Mixed vascular and Lewy body dementia, with severe and rapidly progressive cognitive deterioration and with behavioral and psychological symptoms of dementia in treatment with trazodone, quetiapine, and lorazepam. Rivastigmine was not tolerated in July 2019. Cerebral vascular disease. Multiinfarction. Lacunar stroke Aug2019. Chronic obstructive pulmonary disease (COPD). Diabetes Mellitus II. Negative PCR 15Dec2020. Rapid Antigen Test screening 21Dec2020 negative. Concomitant medication included trazodone, quetiapine, lorazepam, all for dementia. Since the day of the vaccination, he has not presented new symptoms to his usual one. On the night of 12Jan2021, he developed food vomit and died 10 minutes later. They report suspected heart attack. It was unknown whether an autopsy has been performed. No follow-up attempts are possible, information on batch numbers cannot be obtained.; Reported Cause(s) of Death: Vomiting/food vomit; suspected heart attack

Symptoms

Death, Myocardial infarction, Vomiting

Vaccines

VAX DATE: 04 January 2021 | ONSET DATE: 12 January 2021 | DAYS TO ONSET: 8
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))

        RECVDATE:
        04 February 2021
        CAGE_YR:
        CAGE_MO:
        RPT_DATE:
        DIED:
        Y
        DATEDIED:
        12 January 2021
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        N
        LAB_DATA:
        Test Date: 20201221; Test Name: covid-19 antigen test; Test Result: Negative ; Test Date: 20201215; Test Name: COVID-19 PCR test; Test Result: Negative
        V_ADMINBY:
        OTH
        OTHER_MEDS:
        TRAZODONE; QUETIAPINE; LORAZEPAM
        CUR_ILL:
        HISTORY:
        Medical History/Concurrent Conditions: Cerebrovascular disorder; COPD; Dementia with Lewy bodies; Infarction; Lacunar stroke; Mixed dementia; Type II diabetes mellitus
        PRIOR_VAX:
        SPLTTYPE:
        ESPFIZER INC2021088677
        FORM_VERS:
        2
        TODAYS_DATE:
        02 February 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        V_FUNDBY: