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This is VAERS ID 1048264

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1048264
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Dysphagia, Coronavirus infection, SARS-CoV-2 test positive, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-16
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:
Diagnostic Lab Data: Test Date: 20210105; Test Name: COVId-19 rapid test; Test Result: Positive
CDC 'Split Type': DEPFIZER INC2021165007

Write-up: swallowing difficult; COVId-19 rapid test: positive; Coronavirus infection detected via quick test; This is a spontaneous report received from a contactable employee of a nursing home based on information received by Pfizer from Biontech [manufacturer control number: 15873], license party for Comirnaty. The reporter reported similar events for 39 patients, this is the 21th of 39 reports. An approximately 90 years old patient of an unspecified gender received 1st dose of bnt162b2 (COMIRNATY, lot# EM0477), via an unspecified route of administration at single dose on 31Dec2020 for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient experienced coronavirus infection detected via quick test (death) on 05Jan2021, swallowing difficult (non-serious) on an unspecified date with outcome of unknown. The patient underwent lab tests and procedures which included COVId-19 rapid test: positive on 05Jan2021. The patient died on 16Jan2021. It was not reported if an autopsy was performed. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: Linked Report(s) : DE-PFIZER INC-2021164939 same reporter/drug, similar events, different patients.; Reported Cause(s) of Death: Coronavirus infection detected via quick test

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