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

This is VAERS ID 1048267



Case Details

VAERS ID: 1048267 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-02-12
Onset:2021-02-01
Submitted: 0000-00-00
Entered: 2021-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Epilepsy, Obstructive airways disorder, Vomiting
SMQs:, Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Systemic lupus erythematosus (broad), Convulsions (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Generalised convulsive seizures following immunisation (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-13
   Days after onset: 12
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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: DEPFIZER INC2021168762

Write-up: died of vomit in his airways; died of vomit in his airways; epileptic attack; This is a spontaneous report from a contactable consumer or other non-healthcare professional and two other healthcare professionals, based on information received by Pfizer from Biontech [manufacturer control number: 16401], license party for bnt162b2 (COMIRNATY). A 32-year-old male patient received the first dose of bnt162b2 (COMIRNATY), via an unspecified route of administration on 12Feb2021 at single dose for Covid-19 immunization. The patient''s medical history and concomitant medications were not reported. The patient in good health condition, was vaccinated on 12Feb2021. Patient died on 13Feb2021 due to vomit in his airways after an epileptic attack, signs of hashish consumption (joint). It was not reported if an autopsy was performed. The outcome of event ''epileptic attack'' was unknown. Lot/batch number has been requested.; Reported Cause(s) of Death: vomit in his airways; vomit in his airways


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