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This is VAERS ID 1055869

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1055869
VAERS Form:2
Age:68.0
Sex:Male
Location:Foreign
Vaccinated:2021-02-11
Onset:2021-02-11
Submitted:0000-00-00
Entered:2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Diarrhoea, Malaise, Muscular weakness

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2021-02-12
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: Chronic liver disease; Psychiatric disorder NOS
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': ESPFIZER INC2021181693

Write-up: Diarrhea; Malaise; Muscular weakness; This is a spontaneous report from a contactable physician downloaded from the Agency ES-AEMPS-750879. A 68-year-old male patient received bnt162b2 (COMIRNATY) via an unspecified route of administration on 11Feb2021 at single dose for COVID-19 immunisation. Medical history included neuro-psychiatric disorders and chronic liver disease. Concomitant medications were unknown. The patient experienced diarrhea, malaise, muscular weakness on 11Feb2021. The patient was stable but 4 hours after vaccination he begins to complain, muscle weakness, at 6 hours there were 4 liquid stools until he died on 12Feb2021 at 18 hours after vaccination. It was unknown if autopsy was performed. Outcome of all events was fatal. No follow-up attempts are possible, information on lot/batch number cannot be obtained.; Reported Cause(s) of Death: diarrhea; malaise; muscular weakness

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