Adverse Event Reporting
| VAERS ID | 1199890 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | FR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | |
| Number of vaccinations | 2 |
| Vaccinated | 2021-01-30 |
| Onset | |
| Condition | Died |
Symptoms
- Cerebral thrombosis
- Disease progression
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Blood clots in the head, resulting in death; Blood clots in the head, resulting in death; This is a spontaneous report received from a non-contactable consumer downloaded from the Regulatory Authority.
The regulatory authority report number is DE-PEI-CADR2021040861, Safety report unique identifier DE-PEI-202100028706.
A 91-years-old female patient received bnt162b2 (COMIRNATY), dose 2 intramuscular on 30Jan2021 (Batch/Lot Number: Unknown) as single dose for covid-19 immunisation.
The patient medical history and concomitant medications were not reported.
The patient previously received the first dose of bnt162b2 (COMIRNATY) on 09Jan2021 and experienced blood clot on 25Jan2021, dizziness on 10Jan2021 and exhaustion on unknown date.
The patient experience blood clots in the head, resulting in death in 2021.
The patient died on 11Feb2021.
An autopsy was not performed.
It was reported that the patient passed away on 11Feb2021 in the nursing home administration of a second Covid-19 vaccination with a blood clot in her head.
She had received the first vaccination on 09Jan2021 and the second on 30Jan2021.
A few days after the first vaccination, she developed weakness and dizziness and was found sitting on the floor in the bathroom at night, according to the nursing home.
She was admitted to the district hospital (here the blood clot was diagnosed but not treated), discharged after a few days on 30Jan2021 and despite her weakened condition still received the 2nd Covid vaccination on the day of discharge in the nursing home.
Information on lot and batch numbers cannot be obtained.
No further information expected.
; Reported Cause(s) of Death: disease progression; Blood clot