From the 12/27/2024 release of VAERS data:

This is VAERS ID 1022397

Government Disclaimer on use of this data

Case Details

VAERS ID:	1022397 (history)
Form:	Version 2.0
Age:	98.0
Sex:	Female
Location:	Kentucky

Vaccinated:	2021-01-16
Onset:	2021-02-09
Days after vaccination:	24
Submitted:	0000-00-00
Entered:	2021-02-11

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EL8982 / 1	- / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EL9289DEATH / 2	- / IM

Administered by: Senior Living Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
Date died: 2021-02-11
Days after onset: 2
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Resident was end of life/comfort measures which started 7/2/2020. diagnosed with covid 1/20/21. received first vaccination 1/16/21 and second dose 2/6/21. expired 2/9/21.
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Death 2/9/21

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1022397