Adverse Event Reporting
| VAERS ID | 926462 |
|---|---|
| Gender | Male |
| Age | 91 |
| StateCode | |
| Pharmaceutical Company | PFIZER\BIONTECH |
| Lot Number | EL1042 |
| Number of vaccinations | 1 |
| Vaccinated | 2020-12-28 |
| Onset | 2021-01-04 |
| Condition | Hospitalized Died |
Symptoms
- Death
- Hypoxia
- Absence of immediate treatment response
Current Illness
dementia, Upper gastrointestinal bleed
Preexisting Conditions
Advanced dementia, Parkinson's' disease ,chronic kidney disease, sciatica, hyperlipidemia
Other Medications
Lorazepam, pantoprazole, miralax, senna plus, carbodopa-levodopa, metoprolol, mirtazipine, quetiapine
Previous Vaccinations
Allergies
no known food or medication allergies
Laboratory Data
Write-up
Patient developed hypoxia on 1/4/2021 and did not respond to maximal treatment and passed way on 1/5/2021