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This is VAERS ID 1010478

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1010478
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-01
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL 1484 / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-01
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BISOPROLOL; RAMIPRIL; ATORBIR; WARAN; SOBRIL; LEVAXIN; HYDROCHLOROTHIAZIDE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety; Atrial fibrillation; Hyperlipidaemia; Hypertension; Hypothyroidism; Stroke
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': SEPFIZER INC2021095518

Write-up: death; This is a spontaneous report from a contactable consumer or other non hcp and an other HCP downloaded from the Medicines Agency (MA) Regulatory Authority-WEB SE-MPA-2021-000677, Other case identifier number SE-MPA-1611061284120. An 88-year-old female patient received first dose of bnt162b2 (COMIRNATY, lot EL 1484), intramuscularly on Jan2021 at 0.3 mL, single dose for COVID-19 vaccination. Medical history included hypothyroidism, anxiety, stroke from 1992, atrial fibrillation, hypertension, hyperlipidaemia. Concomitant medication included bisoprolol, ramipril, atorvastatin calcium (ATORBIR), warfarin sodium (WARAN), oxazepam (SOBRIL) , levothyroxine sodium (LEVAXIN), hydrochlorothiazide. The woman was found dead in the morning two days after vaccination in Jan2021. According to consumer reporter, the patient was healthy but sensitive to medicines before vaccination. Consumer reporter also write that according to doctor cause of death was unknown. The woman was not autopsied. Report assessed as serious, death. The outcome of event was fatal. No follow-up attempts are possible. No further information is expected.; Reported Cause(s) of Death: Unknown cause of death

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1010478&WAYBACKHISTORY=ON

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