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VAERS ID: 1000286

AGE: UNK| SEX: F|State: FR

Description

emesis/vomiting of food; Gastric volvulus; abdominal pain; This is a spontaneous report from a contactable physician from the regulatory authority FR-AFSSAPS-RN20210173 . A 90-year-old female patient received the 1st dose of bnt162b2 (COMIRNATY, lot number: EM0477) via intramuscular in the left arm on 13Jan2021 at single dose for COVID-19 vaccination. Medical history included hypertension arterial, cardiomyopathy and renal failure chronic, no known allergy, no history of infection with Covid-19. Long-term treatment not specified. Concomitant medications were unknown. From 16Jan2021, the patient presented with abdominal pain with emesis/vomiting of food, prompting hospital transfer. A gastric volvulus was highlighted, operated urgently. The patient died despite the surgery on 21Jan2021. It was unknown if autopsy performed. Clinicians did not hypothesize the causes of death. Outcome of all events was fatal. No follow-up attempts possible. No further information expected.; Reported Cause(s) of Death: emesis/vomiting of food; Gastric volvulus; abdominal pain

Symptoms

Abdominal pain, Death, Gastric volvulus, Vomiting

Vaccines

VAX DATE: 12 January 2021 | ONSET DATE: 15 January 2021 | DAYS TO ONSET: 3
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 1
  • OT
  • LA
  • EM0477

RECVDATE:
03 February 2021
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
Y
DATEDIED:
20 January 2021
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
N
LAB_DATA:
V_ADMINBY:
OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
Medical History/Concurrent Conditions: Cardiomyopathy; Hypertension arterial; Renal failure chronic
PRIOR_VAX:
SPLTTYPE:
FRPFIZER INC2021088336
FORM_VERS:
2
TODAYS_DATE:
02 February 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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