Adverse Event Reporting

VAERS ID 1419563
Gender Female
Age
StateCode FR
Pharmaceutical Company PFIZER\BIONTECH
Lot Number
Number of vaccinations 2
Vaccinated 2021-01-30
Onset 2021-05-22
Condition Died
Symptoms
  • SARS-CoV-2 test
  • Asymptomatic COVID-19
  • Infection
  • Vaccination failure

Current Illness

Cancer; COVID-19 immunization (Full vaccination); Heart failure; Hepatic cancer metastatic; Lung cancer metastatic; Parkinson's disease; Polyneuropathy NOS

Preexisting Conditions

Other Medications

Previous Vaccinations

Allergies

Laboratory Data

Test Date: 202105; Test Name: COVID-19 virus test; Test Result: Positive

Write-up

Became Covid-19 positive 22May21, asymptomatic with Covid-19 test; vaccination failure; Became Covid-19 positive 22May21, asymptomatic with Covid-19 test; This is a spontaneous report from a contactable physician downloaded from the WEB, regulatory authority number NO-NOMAADVRE-FHI-2021-U9p222.
An 83-year-old female patient received bnt162b2 (COMIRNATY), dose 2 intramuscular on 30Jan2021 as 2nd dose, single for covid-19 immunisation.
Medical history included hepatic cancer metastatic from 2021 and ongoing, covid-19 immunisation from 30Jan2021 to 30Jan2021, full vaccination , ongoing parkinson's disease , lung cancer metastatic from 2021 and ongoing, ongoing heart failure, cancer from 2021 and ongoing, ongoing polyneuropathy.
The patient's concomitant medications were not reported.
The patient previously received first dose of bnt162b2 (COMIRNATY) on an unspecified date for COVID-19 Immunization.
On 22May2021, the patient developed asymptomatic BREAKTHROUGH INFECTION, COVID-19 VIRUS TEST POSITIVE, became Covid-19 positive in 22May2021, asymptomatic with Covid-19 test.
Relevant laboratory findings and investigations included in the report ( COVID-19 VIRUS TEST, in May2021).
The patient's outcome was Fatal, at the time of the report.
The case was considered to be serious.
The patient died on 01Jun2021.
It was not reported if an autopsy was performed.
Reporter's comment: RELIS: requested additional information regarding suspected events.
Cancer was also reported as suspected event, but information in case summary pointed out asymptomatic infection as central event.
Cancer was therefore added as concomitant disease.
If new medical information is received, report will be updated.
Sender's comment: In the current report, we have assessed that it is an asymptomatic covid-19 disease that has been reported as a suspected side effect.
We have assessed that cancer has been reported as a possible explanation for the outcome, but that cancer has not been reported as a suspected side effect.
No follow up attempts are possible; Information about lot/batch number cannot be obtained.
; Reported Cause(s) of Death: outcome was Fatal