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VAERS Report 2156619

Case Report Section

Détails du rapport Vaer

Âge: N/A

Genre: Female

Région : Outside US

Patient décédé?
Oui
Renseignements sur les vaccins

Nom: COVID19 (COVID19 (PFIZER-BIONTECH))

Type : Coronavirus 2019 vaccine

Fabricant: PFIZER

Lot: unknown


Date de réception du rapport
2022-03-04
Date à laquelle le formulaire est complèté
Date de vaccination
2021-05-21
Date d’apparition
142
Nombre de jours (date d’apparition – date de vaccination)
142
Description de l’événement indésirable

multiple thrombotic infarcts in the left myocardium; thrombotic thrombocytopenic purpura; death sudden; this is a spontaneous report received from a contactable consumer from the united kingdom's medicines and healthcare products regulatory agency (uk-mhra). other case identifier(s): gb-mhra-vac-202202142304268250-vqwsa (mhra), gb-mhra-adr 26604677 (mhra). a 70 year-old female patient received bnt162b2, administration date 21may2021 (batch/lot number: unknown) as dose unknown number, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: myocardial infarction (death, medically significant), outcome "fatal", described as "multiple thrombotic infarcts in the left myocardium "; thrombotic thrombocytopenic purpura (death, medically significant), outcome "fatal", described as "thrombotic thrombocytopenic purpura"; sudden death (death, medically significant) with onset 10oct2021, outcome "fatal", described as "death sudden". the patient date of death was 10oct2021. the reported cause of death was sudden death, myocardial infarction, thrombotic thrombocytopenic purpura. it was not reported if an autopsy was performed. additional information: the consumer doesn't think this reaction occurred as a result of a mistake made in the administration of the vaccine. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; reported cause(s) of death: multiple thrombotic infarcts in the left myocardium; thrombotic thrombocytopenic purpura; sudden death

Données de laboratoire
na
Liste des symptômes
myocardial infarction thrombotic thrombocytopenic purpura sudden death
Patient décédé?
Oui
Date de décès
2021-10-10
Anomalie congénitale
false
Vaccin administré par :
Other
Vaccin acheté par :
Inconnu
Visite d’un patient à l’urgence?
Non
Patient hospitalisé?
Non
Séjour à l’hôpital
Non
Nombre de jours à l’hôpital
Non spécifié
Invalidité permanente?
Non
Allergies:
na
Maladie actuelle
na