return to results page

VAERS ID: 1000377

AGE: UNK| SEX: F|State: FR

Description

Intestinal perforation; This is a spontaneous report from a contactable physician. This is a report received from the products Regulatory Agency. Regulatory authority report number is GB-MHRA-WEBCOVID-202101272220168460 and Safety Report Unique Identifier of GB-MHRA-ADR 24657435. An 87-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), via an unspecified route of administration on 14Jan2021 as single dose for covid-19 immunization. The patient's medical history and concomitant medications were not reported. Patient has not had symptoms associated with COVID-19, and was not enrolled in a clinical trial. The patient experienced intestinal perforation on 15Jan2021, which was serious as it was life threatening, and lead to death. Details were as follows: patient was taken to emergency (A&E) by ambulance in afternoon of 15Jan2021, after being found at home poorly responsive, confused and hypotensive. The patient had been seen in the evening previously, by her son. Covid vaccine was reported as likely not relevant. In A&E, noted hypothermic, hypotensive, elevated D dimer, elevated -reactive protein (CRP) 199, AKI, WCC 5.8, diffusely tender abdomen. CXR L basal consolidation. Air under diaphragm bilaterally seen clinically not reported. CT TAP free fluid and free intraperitoneal air indicating perforated viscus. Likely sigmoid colon perforation and signs of diverticulitis. Patient had not tested positive for COVID-19 since the vaccination. COVID-19 virus test, was negative on 15Jan2021. The patient died on 16Jan2021. It was not reported if an autopsy was performed. No follow-up attempts are possible; information about batch/lot number cannot be obtained.; Sender's Comments: The 87-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), on 14Jan2021, and didnot have symptoms associated with COVID-19. On 15Jan2021, she experienced intestinal perforation, with clinical and lab findings supporting sigmoid colon perforation and signs of diverticulitis. The fatal event was more likely an intercurrent disease, and unlikely causally related to BNT162B2.; Reported Cause(s) of Death: Death

Symptoms

Abdominal tenderness, Death, Intestinal perforation, C-reactive protein increased, Diverticulitis, Large intestine perforation, Chest X-ray, Fibrin D dimer increased, SARS-CoV-2 test negative, Computerised tomogram abnormal, Hypotension, Slow response to stimuli, Confusional state, Hypothermia, White blood cell count normal

Vaccines

VAX DATE: 13 January 2021 | ONSET DATE: 14 January 2021 | DAYS TO ONSET: 1
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • UNK

RECVDATE:
03 February 2021
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
Y
DATEDIED:
15 January 2021
L_THREAT:
Y
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
N
LAB_DATA:
Test Date: 20210115; Test Name: CRP; Result Unstructured Data: Test Result:199; Comments: elevated; Test Date: 20210115; Test Name: D dimer; Result Unstructured Data: Test Result:elevated; Test Date: 20210115; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test; Test Date: 20210115; Test Name: wcc; Result Unstructured Data: Test Result:5.8
V_ADMINBY:
OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
Comments: Patient has not had symptoms associated with COVID-19 Patient is not enrolled in clinical trial
PRIOR_VAX:
SPLTTYPE:
GBPFIZER INC2021095725
FORM_VERS:
2
TODAYS_DATE:
01 February 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
return to results page

Questions? Comments? Bugs?
[email protected]
Due to the high volume of inquiries, please be patient with response times.

AND PLEASE read the FAQ first.

OpenVAERS is a private organization that posts publicly available CDC/FDA data of injuries reported post-vaccination. Reports are not proof of causality.