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This is VAERS ID 1014939

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1014939
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-20
Onset:2021-01-21
Submitted:0000-00-00
Entered:2021-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / UNK - / OT

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, Pyrexia, General physical health deterioration

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-25
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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Atrial fibrillation; Heartburn; Pain; Parkinson''s disease
Allergies:
Diagnostic Lab Data: Test Date: 20210121; Test Name: fever; Result Unstructured Data: Test Result:fever
CDC 'Split Type': FIPFIZER INC2021104363

Write-up: slowly declining condition deteriorated further; fever; This is a spontaneous report from a non-contactable physician downloaded from the Agency Regulatory Authority-WEB FI-FIMEA-20210275. An 88-year-old female patient received bnt162b2 (COMIRNATY, Solution for injection, lot/batch number and expiration date unknown), intramuscularly on 20Jan2021 at single dose (1 dose form) for COVID-19 vaccination. The patient''s medical history included Parkinson''s disease, atrial fibrillation, pain, heartburn. The patient had concomitant treatments and necessary medications for parkinson''s disease, atrial fibrillation, pain, heartburn. The patient received the vaccine on 20Jan2021, started with fever the next day on 21Jan2021, and the already slowly declining condition deteriorated further, there was no longer contact with the patient, a convalescent care decision was made. The patient died at the end of the a short convalescence treatment in the evening on 25Jan2021. It was unknown if an autopsy was performed. The general condition had been constantly fading before, it was speculated that the rise in fever seemed to that broke the camel''s back and burdened to such an extent that the well-being deteriorated further. The outcome of the events was fatal. No follow-up attempts are possible. Information about lot/batch number cannot be obtained.; Reported Cause(s) of Death: fever; slowly declining condition deteriorated further

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