Adverse Event Reporting
| VAERS ID | 1389999 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | FR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | |
| Number of vaccinations | |
| Vaccinated | 2021-05-04 |
| Onset | 2021-05-05 |
| Condition | Died |
Symptoms
- Diarrhoea
- Chest pain
- Vomiting
Current Illness
Preexisting Conditions
Medical History/Concurrent Conditions: Ex-smoker; Stent placement (Stent placed in subclavian artery (right))
Other Medications
EXTRASTATIN; THYROHORMONE
Previous Vaccinations
Allergies
Laboratory Data
Write-up
Acute chest pain; Diarrhea; Vomiting; This is a spontaneous report from a contactable physician downloaded from the Agency Regulatory Authority-WEB, regulatory authority number GR-GREOF-20213993.
A 69-year-old female patient received bnt162b2 (COMIRNATY), intramuscularly on 04May2021 (Batch/Lot number was not reported) as a single dose for COVID-19 immunisation.
Medical history included stent placement from an unknown date and unknown if ongoing (stent placed in subclavian artery (right)), former smoker from an unknown date and unknown if ongoing.
Concomitant medications included simvastatin (EXTRASTATIN) taken for an unspecified indication, start and stop date were not reported; levothyroxine sodium (THYROHORMONE) taken for an unspecified indication, start and stop date were not reported.
On 05May2021, the patient experienced acute chest pain (death, medically significant), diarrhea (death, medically significant), and vomiting (death, medically significant).
The clinical outcome of the events was fatal.
The patient died on 06May2021 due to acute chest pain, diarrhea, and vomiting.
It was unknown if an autopsy was performed.
Reporter's Comments: "sent to adverse reaction department as additional information: No reported allergies.
Former smoker.
Stent placed in subclavian artery (right).
Sender Comment: Reaction(s) / Event(s) Assessed for Comirnaty to all events: Time Interval between Last Dose of Drug and Start of Reaction / Event (number): 1 day" No follow-up attempts are possible; information about batch/lot number cannot be obtained.
; Reported Cause(s) of Death: Diarrhea; Acute chest pain; Vomiting