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VAERS ID: 1000403

AGE: UNK| SEX: F|State: FR

Description

MYOCARDIAL INFARCTION; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority (IE-HPRA-2021-063720). A 97-year-old female patient received the first dose of BNT162B2 (COMIRNATY, lot number: EM0477) intramuscularly on 22Jan2021 at 0.3 ml single in left deltoid for COVID-19 immunization. The patient's medical history included pacemaker from 2013, Road traffic accident (RTA) from Jun2016, vascular dementia, chronic kidney disease from 2018, history of faints while sitting out at commode but nil in recent months. It was reported that the patient was very unwell one year ago (2020) and had been receiving end of life care for a period but improved. In the three months prior to reporting (Oct2020), the patient tended to be in bed more often but this fluctuated. The patient had taken her meals in her bedroom in the past three months. It was outlined that the patient had been recently bright/alert and eating well. The patient's concomitant medications included ferrous fumarate (GALFER); blumea balsamifera, curcuma longa, lagerstroemia speciosa, orthosiphon aristatus (RENALIN); fats nos (CALOGEN); sennoside A+B (SENOKOT); folic acid; and memantine for dementia. The patient previously received quadrivalent influenza vaccine (split virion, inactivated), suspension for injection in pre-filled syringe. The patient experienced myocardial infarction on 25Jan2021. On 22Jan2021, the patient was well post vaccination and no side effects to vaccination had been noted. On 25Jan2021 at 7.30 am, the patient was noted to be asleep in bed when checked. At 8.15 am, the patient was found dead. The patient was not for resuscitation. It was reported that the General Practitioner (GP) certified the cause of death as myocardial infarction. The patient died on 25Jan2021. No follow-up activities are possible. No further information is expected.; Reported Cause(s) of Death: MYOCARDIAL INFARCTION

Symptoms

Death, Myocardial infarction

Vaccines

VAX DATE: 21 January 2021 | ONSET DATE: 24 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:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
N
LAB_DATA:
V_ADMINBY:
OTH
OTHER_MEDS:
CALOGEN [FATS NOS]; RENALIN; GALFER; FOLIC ACID; MEMANTINE; SENOKOT
CUR_ILL:
HISTORY:
Medical History/Concurrent Conditions: Artificial cardiac pacemaker user; Chronic kidney disease; Fainting (Faints while sitting out at commode but nil in recent months); Road traffic accident; Vascular dementia; Comments: 1) pacemaker 2013, 2) RTA June 2016, 3) vascular dementia 4) Chronic Kidney Disease 2018 5) history of faints while sitting out at commode but nil in recent months.
PRIOR_VAX:
SPLTTYPE:
IEPFIZER INC2021103092
FORM_VERS:
2
TODAYS_DATE:
02 February 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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