Adverse Event Reporting

VAERS ID 1627995
Gender Male
Age 77
StateCode TX
Pharmaceutical Company PFIZER\BIONTECH
Lot Number EN6198
Number of vaccinations 2
Vaccinated 2021-02-25
Onset 2021-08-07
Condition Hospitalized Died
Symptoms
  • Fatigue
  • Pyrexia
  • Headache
  • Chills
  • Decreased appetite
  • Cough
  • Chest X-ray abnormal
  • Abdominal pain
  • SARS-CoV-2 test positive
  • COVID-19
  • Pneumonia
  • Respiratory distress
  • COVID-19 pneumonia
  • Respiratory failure
  • Death
  • Lung opacity
  • Thirst decreased

Current Illness

Preexisting Conditions

Hx of malignant skin melanoma, COPD, paroxysmal AFIB, CAD, DM II cont.

Other Medications

asprin 81mg chewable daily, carvedilol 12.5mg BID cont.

Previous Vaccinations

Allergies

NKDA

Laboratory Data

Write-up

Pfizer-BioNTech COVID-19 Vaccine EUA Patient received Pfizer-BioNTech COVID Vaccines on 2/4/2021 and 2/25/2021.
Patient diagnosed with COVID-19 on 8/6/21 presented to ED complaining of worsening repsiratory status over a couple of days.
1 day prior to ED visit pt was given Decadron and discharged from unknown location per provider note.
Associated symptoms include headache, cough, fever (T-max 104°), chills, decreased appetite/thirst, abdominal cramping with cough, and fatigue.
X-ray shows moderate bilateral airspace opacities left greater than right, most consistent with multilevel low-grade pneumonia in this clinical setting.
Pt treated with ceftriaxone, azithromycin x 3days 8/10, solumedrol #4 cont.