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This is VAERS ID 1048325

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1048325
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-15
Onset:2021-01-26
Submitted:0000-00-00
Entered:2021-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM0477 / 1 LA / OT

Administered by: Other      Purchased by: ??
Symptoms: Acute pulmonary oedema, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-05
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: Medical History/Concurrent Conditions: Alzheimer''s disease; Bedridden; Hypertension arterial; Hypertensive heart disease
Allergies:
Diagnostic Lab Data: Test Name: COVID test; Result Unstructured Data: Test Result:unknown results
CDC 'Split Type': FRPFIZER INC2021169144

Write-up: acute pulmonary edema; This is a spontaneous report from a contactable physician, received from the Regulatory Authority-WEB, regulatory authority number FR-AFSSAPS-RS20210184. A 97-year-old female patient, living in care home, received the first dose of BNT162B2 (COMIRNATY), from lot #EM0477, via intramuscular route in the left arm on 15Jan2021 at single dose for covid-19 immunisation. Medical history included Bedridden, Hypertension arterial, Severe stage Alzheimer''s disease, Hypertensive heart disease, all from an unknown date and unknown if ongoing. No sign of allergy or reactogenicity since vaccination. Concomitant medications were not reported. On 29Jan2021, she presented with food vomiting with inhalation overnight and then left cardiac decompensation. On the morning of the 29Jan2021 she was in acute pulmonary edema and given the age and context, clinicians quickly turned to symptomatic treatment. The evolution was then unfavorable with death on 05Feb2021, despite diuretic treatment. It was unknown if an autopsy was performed. Lab data included a SARS-CoV-2 test with negative result on unknown date. The coincidence vaccine death seems rather fortuitous. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: Based on the information available, the event acute pulmonary edema is attributed to an intercurrent medical condition and assessed unrelated to BNT162B2 (COMIRNATY) vaccine.; Reported Cause(s) of Death: acute pulmonary edema

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