This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP) for a Pfizer sponsored program. A 92 year-old male patient received bnt162b2 (BNT162B2), administration date 12Feb2021 (Batch/Lot number: unknown) at the age of 91 years as dose 2, single and administration date 21Jan2021 (Batch/Lot number: unknown) as dose 1, single for Covid-19 immunisation. Relevant medical history included: "small intestinal bowel blockage" (unspecified if ongoing), notes: small intestinal bowel blockage/He had a 100% bowel blockage. Concomitant medication(s) included: VYNDAMAX. The following information was reported: VACCINATION FAILURE (death, hospitalization, medically significant), COVID-19 (death, hospitalization, medically significant) all with onset Jan2022, outcome "fatal" and all described as "Contracted Covid"; BLOOD PRESSURE DECREASED (death, hospitalization), outcome "fatal", described as "Blood pressure dropped"; RESPIRATORY DISORDER (death, hospitalization), outcome "fatal", described as "respirations dropped"; OXYGEN SATURATION DECREASED (death, hospitalization), outcome "fatal", described as "blood O2 level dropped". The patient was hospitalized for vaccination failure, Covid-19, blood pressure decreased, respiratory disorder, oxygen saturation decreased (start date: 18Jan2022, discharge date: 20Feb2022, hospitalization duration: 33 day(s)). The patient underwent the following laboratory tests and procedures: blood pressure measurement: (unspecified date) dropped; oxygen saturation: (unspecified date) dropped; respiratory rate: (unspecified date) dropped; sars-cov-2 test: (Jan2022) positive, notes: tested positive in rehab. Therapeutic measures were taken as a result of Covid-19. The patient date of death was 20Feb2022. The reported cause of death was Covid-19, vaccination failure, blood pressure decreased, respiratory disorder, oxygen saturation decreased. It was not reported if an autopsy was performed. Clinical course: Dates of Adverse Event: it was either 17Jan2022 or 18Jan2022 when he was diagnosed with Covid. On 18Jan2022 his dad was sent to withheld. Caller gives permission for Pfizer to follow up with withheld. Caller states that he has picked things up after so many years of taking care of grandparents. His dad was in the hospital until passing on 20Feb2022. Caller doesn't believe an autopsy was done. In withheld if a person dies in the hospital under a doctor's care no autopsy is needed. Caller doesn't know his dad's final weight because he had a medical condition prior that lead through the past couple of months of. He had a 100% bowel blockage that should have killed him, but prior to that he was 145 pounds. Caller clarified that the bowel blockage is not what killed him but that is where it started. His dad contracted Covid even though he was double vaccinated with Pfizer's Covid vaccine. It hit his lungs and that was it. Caller has not yet seen the death certificate but the hospital his dad was taken to admitted him for Covid. His dad tested positive in withheld. His respirations dropped. His blood pressure dropped. His blood O2 level dropped and then he was rushed to the hospital and he was admitted. Caller hasn't seen the death certificate but for caller's purposes Covid is what did it. His dad passed away in withheld. HCP Information: his cardiologist was Dr. "withheld". With the bowel blockage, his dad was sent to a different hospital because it was closest to withheld. That is when crap went withheld. Dr. "withheld" recommended it and just sent in Jan. the renewed prescription. His information should be in there. Caller doesn't have the doctor's email to provide. Caller can't say about concomitant medications because at the end they said they had tried all of Covid medications to the maximum amounts and levels and there was nothing left to attempt to try. What those medications were caller is not sure. Pfizer has full permission to contact "withheld". Caller is trying to collect information. Medical conditions and Investigations: his dad went in on 20Dec2021 with 100% small intestinal bowel blockage. His dad was pretty much off medication for a few weeks, at least a week and a half. Nothing was being taken orally because nothing was going through. No fluids or nothing. His dad was back on it a short time when he was in withheld and in the beginning of being down at "withheld". There are circumstances for the last week to two weeks and his dad didn't take the medications. Transfer from "withheld" with Pfizer. Caregiver on the line who stated that this father passed on Sunday. The product is Vyndamax 61mg capsule. Has one full box of medication that has not been opened. For the one that has one card left caller provides NDC: "withheld", lot: 4339842A, expiry: Jan2023. For the full box caller provides NDC: withheld, lot: 4517355A, expiry: Apr2023. Indication: his dad had thickening of the heart. They were told that this medication only attaches and breaks down the protein that builds the thickening of the heart. The lot number for bnt162b2 was not provided and will be requested during follow up. Reported Cause(s) of Death: Contracted Covid; Blood pressure dropped; respirations dropped; blood O2 level dropped; Contracted Covid.