Adverse Event Reporting
| VAERS ID | 1736745 |
|---|---|
| Gender | Male |
| Age | 75 |
| StateCode | TX |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EN6198 |
| Number of vaccinations | 2 |
| Vaccinated | 2021-02-27 |
| Onset | 2021-08-31 |
| Condition | Hospitalized Died |
Symptoms
- Asthenia
- Mobility decreased
- White blood cell count normal
- Dysstasia
- Gait disturbance
- SARS-CoV-2 test positive
- Troponin
- Blood creatinine increased
- COVID-19
- Brain natriuretic peptide increased
- Blood lactic acid normal
- Death
- Cardiac failure congestive
- Urine analysis abnormal
- Procalcitonin
- Bacterial test
- Acute respiratory failure
- Renal failure
- White blood cells urine positive
- Chest tube insertion
- Pneumothorax spontaneous
Current Illness
Preexisting Conditions
CAD s/p CABG, HTN, HLD, TIA(2017), Obesity, GERD, Arthritis, Nephrolithiasis
Other Medications
Tylenol 500mg 2 tab daily, aspirin 81mg daily, atenolol 25mg daily, vitamin b-12 500mcg Qweekly, hydrochlorothiazide 12.5mg daily, lisinopril 20mg daily, multivitamin daily, pantoprazole 20mg daily, rosuvastatin 20mg daily, sildenafil 100m
Previous Vaccinations
Allergies
Penicillin, Sulfamethoxazole-trimethoprim
Laboratory Data
COVID19 Positive 8/31/21
Write-up
Pfizer-BioNTech COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death.
Patient received Pfizer Vaccines on 2/6/2021 and 2/27/2021.
Patient presented to ED with generalized weakness for several days prior to admission.
Patient noticed difficulty walking and progressed to being unable to stand/get out of chair.
In the ED, temp 99.
9, vitals stable.
Labs with normal WBC, procalcitonin 0.
51, lactate wnl, Cr 2.
06, BNP 604 and trop 0.
1.
UA with rare bact, 3+LE, 20-50 WBCs.
Patient was admitted for acute hypoxic respiratory failure, due to covid 19.
He was treated with steroids for 10 days and cefepime.
He had acute CHF, renal failure.
He eventually developed spontaneous PTX and had chest tube placed by pulmonary.
Goals of care addressed with family who eventually elected comfort measures and hospice.
Patient expired at 1600 on 9/17/21.