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This is VAERS ID 1037608

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1037608
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-02-09
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0141/V1010 / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Cerebrovascular accident, Death, Malaise, Physical examination, Scan

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-09
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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: physical examination; Result Unstructured Data: Test Result:Unknown results; Test Name: scans; Result Unstructured Data: Test Result:Unknown results
CDC 'Split Type': GBPFIZER INC2021152875

Write-up: Death; Stroke confirmed; felt unwell; This is a spontaneous report from a contactable consumer from the Regulatory Agency (RA). Regulatory authority report number GB-MHRA-WEBCOVID-202102102139105660, Safety Report Unique Identifier GB-MHRA-ADR 24738813. An elderly female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EL0141/V1010), via an unspecified route of administration on 09Feb2021 at single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. The patient felt unwell and ambulance was called. Paramedics confirmed and patient taken to hospital. Stroke confirmed and patient died 24 hours later. The cause of death was unknown. On an unspecified date, the patient underwent lab tests and procedures which included physical examination and scan: for both the results were unknown. It was not reported if an autopsy was performed. The patient has not had symptoms associated with COVID-19. Not had a COVID-19 test. The patient was not enrolled in clinical trial. No follow-up attempts are possible. No further information expected.; Reported Cause(s) of Death: Death

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