Adverse Event Reporting
| VAERS ID | 2013110 |
|---|---|
| Gender | Female |
| Age | |
| StateCode | FR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | FK6304 |
| Number of vaccinations | 3 |
| Vaccinated | 2021-12-09 |
| Onset | 2021-12-09 |
| Condition | Died |
Symptoms
- Oxygen saturation decreased
- Immunisation
- Cognitive disorder
- Hypokinesia
Current Illness
Preexisting Conditions
Medical History/Concurrent Conditions: Atrial fibrillation; Cognitive impairment; Hypokinesia ((but not completely bedridden))
Other Medications
INHIXA; DILZENE; QUENTIAX; CITALOPRAM
Previous Vaccinations
Allergies
Laboratory Data
Write-up
After the third dose of AntiCovid onset of desaturation followed, after a few hours, by exitus.
Patient with severe impairment of cognitive abilities; After the third dose of AntiCovid onset of desaturation followed, after a few hours, by exitus.
Patient with hypokinetic syndrome; After the third dose of AntiCovid onset of desaturation; Booster; This is a spontaneous report received from a contactable reporter(s) (Physician) from a regulatory authority.
Regulatory number: IT-MINISAL02-822072.
A 99 year-old female patient received bnt162b2 (COMIRNATY), intramuscular, administration date 09Dec2021 14:36 (Lot number: FK6304, Expiration Date: 31Jan2022) as dose 3 (booster), single for covid-19 immunisation.
Relevant medical history included: "atrial fibrillation" (unspecified if ongoing); "hypokinetic syndrome" (unspecified if ongoing), notes: (but not completely bedridden); "advanced cognitive impairment" (unspecified if ongoing).
Concomitant medication(s) included: INHIXA taken for cardiac fibrillation; DILZENE taken for cardiac fibrillation; QUENTIAX taken for senile dementia; CITALOPRAM.
Vaccination history included: Covid-19 vaccine (dose 1, manufacturer unknown), for covid-19 immunisation; Covid-19 vaccine (dose 2, manufacturer unknown), for covid-19 immunisation.
The following information was reported: IMMUNISATION (death) with onset 09Dec2021 14:36, outcome "fatal", described as "booster"; COGNITIVE DISORDER (death) with onset 10Dec2021, outcome "fatal", described as "After the third dose of AntiCovid onset of desaturation followed, after a few hours, by exitus.
Patient with severe impairment of cognitive abilities"; HYPOKINESIA (death) with onset 10Dec2021, outcome "fatal", described as "After the third dose of AntiCovid onset of desaturation followed, after a few hours, by exitus.
Patient with hypokinetic syndrome"; OXYGEN SATURATION DECREASED (death) with onset 10Dec2021, outcome "fatal", described as "After the third dose of AntiCovid onset of desaturation".
The patient date of death was 10Dec2021.
The reported cause of death was "unknown cause of death".
It was not reported if an autopsy was performed.
Reporter Comment: Elderly patient with atrial fibrillation and hypokinetic syndrome (but not completely bedridden) in advanced cognitive impairment.
The decay of general condition began the day after the third dose of Comirnaty and rapidly degenerated, with onset of desaturation in the absence of dyspnoea, until death on the same day.
Sender's Comments: Contacted the reporter in order to find the patient's death certificate and other clinical information.
No follow-up attempts are possible.
No further information is expected.
; Reported Cause(s) of Death: unknown cause of death