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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1048266

Case Details

VAERS ID: 1048266 (history)  
Form: Version 2.0  
Sex: Unknown  
Location: Foreign  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Coronavirus infection, Dysphagia, SARS-CoV-2 test, SARS-CoV-2 test positive
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-01-11
   Days after onset: 10
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Test Date: 20210101; Test Name: Covid-19 rapid test; Test Result: Positive
CDC Split Type: DEPFIZER INC2021165026

Write-up: Coronavirus infection; swallowing difficulty; Covid-19 rapid test positive; 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 30th of 39 reports. A 101-year-old patient of an unspecified gender received first dose of bnt162b2 (COMIRNATY, Lot number: EM0477) via an unspecified route of administration on 31Dec2020 at single dose for COVID-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient experienced coronavirus infection and swallowing difficulty on an unspecified date. Patient had Covid-19 rapid test positive on 01Jan2021. Outcome of "Coronavirus infection" was fatal, of other events was unknown. The patient died on 11Jan2021. It was unknown 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

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