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This is VAERS ID 1048389

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1048389
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2020-12-24
Onset:2020-12-26
Submitted:0000-00-00
Entered:2021-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Aspiration, Diarrhoea, Hypotension, Blood pressure measurement

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2020-12-29
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:
Allergies:
Diagnostic Lab Data: Test Date: 20201226; Test Name: BP; Result Unstructured Data: Test Result:Low
CDC 'Split Type': GBPFIZER INC2021170308

Write-up: Vomit aspiration; Diarrhea; Low BP; This is a spontaneous report from a contactable consumer received from the MHRA. Regulatory authority report number GB-MHRA-WEBCOVID-202102141939491930, Safety Report Unique Identifier GB-MHRA-ADR 24760587. An 83-year-old female patient received of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration on 24Dec2020 at single dose for covid-19 immunisation. The patient medical history and the patient''s concomitant medications were not reported. Patient has not had symptoms associated with COVID-19. Not had a COVID-19 test. Patient was not enrolled in clinical trial. On 26Dec2020 the patient experienced vomit aspiration, diarrhea and low bp. The outcome of the events diarrhea and low BP was reported as not recovered. The outcome of the event vomit aspiration was reported as fatal. The patient died on 29Dec2020. It was not reported if an autopsy was performed. No follow-up attempts are possible; information about lot/batch number cannot be obtained. ; Reported Cause(s) of Death: Vomit aspiration

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