Received Mar 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 1 | — | — |
Bacterial peritonitis; Lost an eye; Lost full-body mobility; Died; This is a spontaneous report received from a consumer. A 67-year-old male patient received BNT162b2 Omicron (kp.2) (COMIRNATY (2024-2025 FORMULA)), on 30Aug2024 at 14:00 as dose 1, single (Batch/Lot number: unknown) at the age of 67 years, in arm for COVID-19 immunisation. The patient's relevant medical history included: "Diabetes" (unspecified if ongoing); "Liver cirrhosis" (unspecified if ongoing); "Liver cancer" (unspecified if ongoing); "Immunocompromised" (unspecified if ongoing). The patient took concomitant medications. Vaccination history included: COVID-19 vaccine (DOSE 1; MANUFACTURER UNKNOWN), for COVID-19 immunization; COVID-19 vaccine (DOSE 2; MANUFACTURER UNKNOWN), for COVID-19 immunization; COVID-19 vaccine (DOSE 3 (BOOSTER); MANUFACTURER UNKNOWN), for COVID-19 immunization. No other vaccine was administered in four weeks and on the same date with the Pfizer suspect vaccine. The facility where the vaccine was administered was in a pharmacy or drugstore. The following information was reported: PERITONITIS BACTERIAL (hospitalization, disability, life threatening) with onset 31Aug2024, outcome "not recovered", described as "Bacterial peritonitis"; EYEBALL AVULSION (hospitalization, disability, life threatening) with onset 31Aug2024, outcome "not recovered", described as "Lost an eye"; MOBILITY DECREASED (hospitalization, disability, life threatening) with onset 31Aug2024, outcome "not recovered", described as "Lost full-body mobility"; DEATH (death) with onset 21Feb2025, outcome "fatal", described as "Died". After receiving the vaccine (fourth COVID-19 vaccine), the patient felt ill in less than 24 hours. The symptoms were similar to those reported for a COVID-19 reaction but, when they became worse after 4 days, turned out to be spontaneous bacterial peritonitis. The patient had diabetes related liver cirrhosis and liver cancer. The patient was admitted to a hospital, but was med flighted to another place. The patient lost an eye and full-body mobility to the infection. The patient was referred to hospice and died on 21Feb2025. Some doctors thought the COVID-19 vaccine triggered the peritonitis in this immunocompromised patient. The patient was hospitalized for peritonitis bacterial, eyeball avulsion, mobility decreased (hospitalization duration: 40 day(s)). Therapeutic measures were taken as a result of peritonitis bacterial, avulsion of eye, and mobility decreased (various). The patient date of death was 21Feb2025. The reported cause of death was unknown. It was not reported if an autopsy was performed. Batch/lot number is not provided, and it cannot be obtained.; Reported Cause(s) of Death: Died
Medical History/Concurrent Conditions: Diabetes; Immunocompromised; Liver carcinoma; Liver cirrhosis