Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Peripheral swelling, Pneumonia, Pyrexia, Renal failure
Clinical narrative: Community acquired pneumonia; Caller states she thinks this pain might have been due to the blood clots; kidney failure; couldn't put on breathing machine right away/ couldn't breath; lump, the size of a 50 cent piece, on the patient's chest in the center of chest; Caller states she thinks this pain might have been due to the blood clots; something in his heart; no appetite; mucous/the mucous was red; legs cramping; Fever; Chills; right arm swollen; This is a spontaneous report from a contactable consumer. An 83-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in Arm Right on 29Jan2021 15:30 (at the age of 83-years-old) (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation. Medical history included High cholesterol, coronary artery disease; obesity; obstructive sleep apnea; hyperlipidemia. Concomitant medication(s) included fenofibrate taken for blood cholesterol increased from an unspecified start date to 13Feb2021. Caller states that (Name) got his first Pfizer COVID-19 Vaccine on 29Jan2021 at 03:30pm in his right arm and was scheduled to get his second Pfizer COVID-19 Vaccine on 19Feb2021, but patient died on 13Feb2021. On 29Jan2021, the patient experienced right arm swollen. On 31Jan2021, the patient experienced pyrexia, chills. On 05Feb2021, the patient had mucous, legs cramping. On 07Feb2021, the patient had no appetite. On an unspecified date, it was reported the patient couldn't put on breathing machine right away/ couldn't breath, lump, the size of a 50 cent piece, on the patient's chest in the center of chest, Caller states she thinks this pain might have been due to the blood clots, kidney failure. The report described that: "Right arm swollen: once the patient came back from getting the shot caller noticed patient's right arm swollen. Caller states that she offered to put something on it and patient declined stating he was ok. Fever: To date: Until 13Feb2021. Chills: To date: Until 13Feb2021. Patient had intermittent fever and chills. Caller states that one of the temperatures were 99 degrees. Another day temperature was like 99.7 degrees. Caller states she did try to treat this with a cold rag and some rubbing alcohol. She asked him at different times if he wanted her to call Dr. Name or the Name or make an appointment with his doctor but he kept telling her no. He was thinking this was what he was supposed to go through, these are the things like the shot was kicking in. No appetite: To date: Until 13Feb2021 to callers awareness. Outcome unknown. Caller states that patient also did lose his appetite, clarified as no appetite. Caller states this began on Sunday 07Feb2021. Caller continues that every morning she would fix the patient a bowl of cornflakes and bananas...but on Sunday his appetite changed and he didn't want to eat. Caller states he got to where he only wanted juice, water. Mucous: To date: Until 13Feb2021. Patient began to have some mucous build up for which he took some Mucinex at 08:30 and 12:00 am and 10:00am. Caller also states while patient was experiencing the mucous, he needed a spit cup for mucous. Caller states she put a grocery bag on side of bed for patient to spit in. Caller states that she noticed the mucous was red and asked the patient if it was blood. Caller states the patient told her that he had just taken some Robitussin, she guesses because he had trouble breathing, unknown what time it occurred, she did not hear him get up. Mucinex: Lot/NDC/UPC/Expiry: Not probed on call, she mentioned she got the daytime and the nighttime one, but he only took the nighttime one. Robitussin: Lot/NDC/UPC/Expiry: Not probed on call. Couldn't put on breathing machine right away: To date: Until 13Feb2021. Outcome unknown. Patient used a breathing machine regularly, but she noticed that during this time he couldn't put his sleeping machine, or breathing machine on right away. Caller states that patient was stating the air was blowing into his nose and he had to wait to put the machine on. Legs cramping to date outcome unknown. Caller described the patient experience legs cramping two different times. Caller states the patient was laying in the bed and sat up on the side of the bed due to his legs cramping. Caller states that she offered to rub his legs, but patient declined. Caller states she thinks this pain might have been due to the blood clots and her stepdaughter told her it was a good thing that caller didn't rub them. Caller states that on 13Feb2021, when she woke up sometime before 07:00 or 06:00 she saw patient sitting on side of bed. She states she thought that maybe he went to the bathroom and was getting ready to put his breathing machine back on and lay back down. She states that the patient did not lay back down and then she asked the patient why he was sitting on the side of the bed and he told her he couldn't breath. Caller states she then called his daughter who came over and they called the aramedics. Caller states while she was trying to wash the patient up to get ready to go to the emergency room she noticed a lump, the size of a 50 cent piece, on the patient's chest in the center of chest. Caller states she pointed the lump out to the patient and he indicated he didn't know where it came from. Caller states when the paramedics came maybe around 08:00 they did notice the lump as well. The paramedics were doing vital signs is her assumption; when they did it, the patches they put on to check your heart; they told her they were gonna take him to a heart hospital so they wouldn't have to transfer him later. She assumes whatever they picked up in the whatever that is that they put on him was something wrong with his heart, a murmur or whatever. Caller states that patient was taken to hospital and then the caller and her stepdaughter had to wait in the parking lot due to COVID-19 restrictions. Caller states that after about an hour, around 10:24am she was able to talk to patient on the phone at which time he told caller to go back home instead of waiting in the parking lot. Caller states she and her stepdaughter did go home at that time. Caller states that later that day at about 12:04pm the doctor called and informed her that the patient was not breathing. Caller states they immediately went to the hospital at which time the patient was already dead. Caller states the doctor told her that the patient had blood clots, kidney failure and something in his heart. Caller states she declined to have an autopsy. Caller states her husband was 83 years old and she did not want them dissecting him. The patient underwent lab tests and procedures which included body temperature: 99, body temperature: 99.7, body temperature: unknown on 13Feb2021, electrocardiogram: unknown results, heart rate: unknown results, ultrasound scan: unknown results, x-ray: unknown results. Therapeutic measures were taken as a result of , fever (pyrexia), no appetite (decreased appetite), mucous/the mucous was red (nasal mucosal disorder), couldn't put on breathing machine right away/ couldn't breath (dyspnoea).  The patient died on 13Feb2021 due to Community acquired pneumonia.  An autopsy was not performed. The outcome of the event right arm swollen was recovered on 30Jan2021, while unknown for the other events.  Information on the lot/batch number has been requested.; Reported Cause(s) of Death: Pneumonia