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This is VAERS ID 1048408

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1048408
VAERS Form:2
Age:87.0
Sex:Male
Location:Foreign
Vaccinated:2021-01-21
Onset:2021-01-21
Submitted:0000-00-00
Entered:2021-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Dyspnoea

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-01-24
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: SOLOSA; VESOMNI; TOVIAZ; ZOMARIST [VILDAGLIPTIN]; MENTIFAR
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Bladder papilloma; Diabetes mellitus NOS
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GRPFIZER INC2021164522

Write-up: Dyspnea; This is a spontaneous report from a contactable physician downloaded from the Medicines Agency (MA) Regulatory Authority-WEB GR-GREOF-20211120. An 87-year-old male patient received the 1st dose of bnt162b2 (COMIRNATY) via intramuscular on 21Jan2021 at a single dose for covid-19 immunisation. Medical history included Diabetes mellitus NOS and Papilloma of urinary bladder. Concomitant medication included glimepiride (SOLOSA) taken from unknown date to unknown date for unknown indication; solifenacin succinate, tamsulosin hydrochloride (VESOMNI) taken from unknown date to unknown date for unknown indication; fesoterodine fumarate (TOVIAZ) taken from unknown date to unknown date for unknown indication; vildagliptin (ZOMARIST) taken from unknown date to unknown date for unknown indication; memantine hydrochloride (MENTIFAR) taken from unknown date to unknown date for unknown indication; all orally. The patient the day after the first dose of Comirnaty (21Jan2021) presented dyspnea and on 23Jan2021 asked his son to take him to hospital but finally he did not feel so discomfort and postponed the visit. On 24Jan2021 (early hours) he died and dyspnea was fatal outcome. An autopsy was not performed. No follow-up attempts possible. Information about lot/batch cannot be obtained.; Reported Cause(s) of Death: Dyspnea

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