Adverse Event Reporting
| VAERS ID | 2013478 |
|---|---|
| Gender | Male |
| Age | 76 |
| StateCode | FR |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | |
| Number of vaccinations | 2 |
| Vaccinated | 2021-05-08 |
| Onset | 2021-05-08 |
| Condition | Died |
Symptoms
- Inappropriate schedule of product administration
- Deep vein thrombosis
Current Illness
Preexisting Conditions
Other Medications
Previous Vaccinations
Allergies
Laboratory Data
Write-up
My husband got thrombosis in right leg and died four weeks later; Inappropriate schedule of vaccine administered; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from the Agency Agency-WEB.
Regulatory number: NL-LRB-00730435.
A 76 year-old male patient received bnt162b2 (COMIRNATY), administration date 08May2021 (Batch/Lot number: unknown) at the age of 76 years as dose 2, 0.
3ml single for covid-19 immunisation.
The patient's relevant medical history and concomitant medications were not reported.
Vaccination history included: Comirnaty (1st dose, LOT# unknown), administration date: 26Mar2021, for covid-19 immunisation, reaction(s): "No adverse reaction".
The following information was reported: DEEP VEIN THROMBOSIS (death) with onset 26May2021, outcome "fatal", described as "My husband got thrombosis in right leg and died four weeks later"; INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION (death) with onset 08May2021, outcome "fatal", described as "Inappropriate schedule of vaccine administered".
Therapeutic measures were taken as a result of deep vein thrombosis.
The patient date of death was 04Jun2021.
The reported cause of death was deep vein thrombosis, stent placement.
The autopsy was performed, and results were not provided.
Treatment: Deep vein thrombosis leg is treated with stent placement after which he deteriorated.
Reporter Comment: BioNTech/Pfizer vaccine (Comirnaty).
Past drug therapy BioNTech/Pfizer vaccine (Comirnaty): yes.
ADRs: No Date: 26Mar2021.
My husband got thrombosis in the right leg and died four weeks later.
Additional information ADR: I wonder if the thrombosis was the cause of the vaccine, in the time between vaccination and death there were two and a half weeks.
BSN available: yes COVID19 Previous COVID-19 infection: No.
Other.
diagnostic procedures: An obduction No follow-up attempts are possible; information about lot/batch number cannot be obtained.
No further information is expected; Reporter's Comments: BioNTech/Pfizer vaccine (Comirnaty) Past drug therapy BioNTech/Pfizer vaccine (Comirnaty): yes ADRs: No Date: 26Mar2021 My husband got thrombosis in the right leg and died four weeks later Additional information ADR: I wonder if the thrombosis was the cause of the vaccine, in the time between vaccination and death there were two and a half weeks.
BSN available: yes COVID19 Previous COVID-19 infection: No Other diagnostic procedures: An obduction; Reported Cause(s) of Death: Because he had a blood clot in a narrowed vein, he was given a stent.
After that treatment, his condition continued to deteriorate, resulting in his death.
; stent in vein leg then it went bad