This is VAERS ID 2396993

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Abdominal pain upper, Pyrexia, Rash, Seizure
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Convulsions (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Generalised convulsive seizures following immunisation (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: PHPFIZER INC202201015464

Write-up: Stomach ache; Seizure; Rashes; Abdominal pain; Fever; This is a spontaneous report received from a contactable reporter(s) (Other HCP) from Regulatory Authority. Regulatory number: PH-PHFDA-300151887 (RA). A 7-year-old female patient (unknown if pregnant) received BNT162b2 (COMIRNATY), on 19Apr2022 as dose 2, single (Lot number: FN4073) at the age of 7 years intramuscular for covid-19 immunisation. The patient''s relevant medical history and concomitant medications were not reported. Vaccination history included: comirnaty (Dose number 1, ROA: intramuscular, lot number: FN4075), administration date: 29Mar2022, when the patient was 7-year-old, for COVID-19 immunization. The following information was reported: PYREXIA (death) with onset 13Jul2022 at 06:00, outcome "fatal", described as "Fever"; ABDOMINAL PAIN (death) with onset 15Jul2022 at 10:00, outcome "fatal"; RASH (death) with onset 16Jul2022 at 02:00, outcome "fatal", described as "Rashes"; SEIZURE (death, medically significant) with onset 17Jul2022 at 06:30, outcome "fatal"; ABDOMINAL PAIN UPPER (non-serious), outcome "unknown", described as "Stomach ache". The patient date of death was unknown. Reported cause of death: "Fever", "Rashes", "Abdominal pain", "Seizure". No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Fever; Rashes; Abdominal pain; Seizure