Adverse Event Reporting
| VAERS ID | 1035099 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | FR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EJ6795 |
| Number of vaccinations | 2 |
| Vaccinated | 2021-01-28 |
| Onset | 2021-02-02 |
| Condition | Died |
Symptoms
- Oxygen saturation abnormal
- Circulatory collapse
Current Illness
Preexisting Conditions
Medical History/Concurrent Conditions: Dementia; Fracture femur
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Test Date: 20210202; Test Name: desaturation; Result Unstructured Data: Test Result:desaturation
Write-up
Acute circulatory failure; This is a spontaneous report from a contactable Physician downloaded from the Agency Regulatory Authority-WEB FR-AFSSAPS-BX20210445.
This is a report received from the Regulatory Authority.
A 90-year-old female patient received the 2nd dose of bnt162b2 (COMIRNATY, lot # EJ6795) intramuscular at single dose on 28Jan2021 for covid-19 immunisation.
Medical history included femur fracture, dementia.
The patient's concomitant medications were not reported.
The patient experienced acute circulatory failure with hypotension, bradycardia, desaturation on 02Feb2021.
The patient died on 02Feb2021.
It was not reported if an autopsy was performed.
; Reported Cause(s) of Death: Acute circulatory failure