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This is VAERS ID 1056228

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1056228
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-01-28
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-02-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EM0477 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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:
CDC 'Split Type': DEPFIZER INC2021191544

Write-up: Exitus letalis; This is a spontaneous report downloaded from the Regulatory Authority -WEB DE-PEI-PEI2021002689. This is a report received from the Regulatory Authority. A female patient of an unspecified age received the first dose of bnt162b2 (COMIRNATY, lot no.: EM0477), via an unspecified route of administration single dose on 28Jan2021 for covid-19 immunisation. The patient medical history was not reported. The patient''s concomitant medications were not reported. The patient experienced exitus letalis on an unspecified date. It was not reported if an autopsy was performed. No follow-up attempts are possible. No further information is expected; Reported Cause(s) of Death: Exitus letalis

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