Age: 23.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Death; great distress and trouble in breathing; Shortness of breath; Chest pain; This spontaneous case was reported by a consumer and describes the occurrence of DEATH (Death) and RESPIRATORY DISTRESS (great distress and trouble in breathing) in a 23-year-old male patient who received SPIKEVAX NOS (SPIKEVAX NOS) for COVID-19 prophylaxis. The occurrence of additional non-serious events is detailed below.     Patient was in good health.  Concurrent medical conditions included Asthma (Chronic asthma since childhood, well managed).    In November 2021, the patient received dose of SPIKEVAX NOS (SPIKEVAX NOS) (unknown route) 1 dosage form. On 25-Nov-2021, the patient experienced DEATH (Death) (seriousness criteria death and medically significant), RESPIRATORY DISTRESS (great distress and trouble in breathing) (seriousness criterion medically significant), DYSPNOEA (Shortness of breath) and CHEST PAIN (Chest pain). The patient died on 25-Nov-2021. The cause of death was not reported. It is unknown if an autopsy was performed. At the time of death, RESPIRATORY DISTRESS (great distress and trouble in breathing), DYSPNOEA (Shortness of breath) and CHEST PAIN (Chest pain) outcome was unknown.            No concomitant medications were reported.  In the afternoon of 25-Nov-2021, the patient presented to the emergency room with chest pain and shortness of breath. The patient was evaluated and discharged from the emergency room. Several hours later, the patient had to return to the emergency room because he was in great distress and having trouble breathing. The patient received treatment on his second visit to the emergency room, but it was a little too late and he passed away in the emergency room. Since that time, the client had received an opinion from an expert physician that the patient had died as the direct and proximate result of a vaccine injury.  No treatment medications were not specified.  Company comment: This spontaneous case concerns a 23-year-old, male patient with medical history of asthma (Chronic asthma since childhood, well managed), who experienced the unexpected serious (death and medically significant) event of death and unexpected serious (medically significant) event of respiratory distress as well as non serious events of dyspnea and chest pain. The events occurred after a dose of COVID 19 vaccine (brand unknown). As reported, the patient presented to the emergency room with chest pain and shortness of breath. The patient was evaluated and discharged from the emergency room. Several hours later, the patient had to return to the emergency room because he was in great distress and having trouble breathing. The patient received treatment on his second visit to the emergency room, but it was a little too late and he passed away in the emergency room. Reportedly, opinion of  expert physician was given the patient had died as the direct and proximate result of a vaccine injury. No further information about the events was provided. Cause of death, autopsy results (if conducted) or diagnostic findings prior to death as well as treatment given were not reported. Above mentioned medical history is a confounder for the events. The benefit-risk relationship of SPIKEVAX NOS is not affected by this report.; Reported Cause(s) of Death: Unknown cause of death