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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1061476



Case Details

VAERS ID: 1061476 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-02-10
Onset:2021-02-14
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-03-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ6797 / 1 - / OT

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-02-14
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: Carotid occlusion (occlusion of the internal carotid artery, left); Dependence on renal dialysis (kidney failure requiring dialysis); Fundus hypertonicus; Hypertension arterial; Kidney failure; Vascular encephalopathy
Preexisting Conditions: Medical History/Concurrent Conditions: Ischaemic cerebral infarction (St.p. multiple (embolically configured) ischemic cerebral infarcts in the flow area of the left cerebral artery)
Allergies:
Diagnostic Lab Data:
CDC Split Type: ATPFIZER INC2021190501

Write-up: unexplained death; Found dead at home; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB (Regulatory Authority number AT-BASGAGES-2021-03550). A 73 years old male patient received the first single dose of BNT162B2 (COMIRNATY; lot EJ6797) intramuscular, on 10Feb2021, for COVID-19 immunisation. Medical history included ongoing fundus hypertonicus, ongoing dependence on renal dialysis, ongoing kidney failure requiring dialysis, ongoing cerebral arterial occlusive disease (occlusion of the internal carotid artery, left), ongoing hypertension arterial, ischaemic cerebral infarction from Dec2012 (st.p. multiple (embolically configured) ischemic cerebral infarcts in the flow area of the left cerebral artery), ongoing vascular encephalopathy. He had numerous unspecified multiple concomitant medications. At noon on 12Feb2021 the patient was seen on dialysis since he was symptom-free. On 14Feb2021 the patient experienced unexplained death; found dead at home. It was unknown if an autopsy was done. There were no signs of infection at the time of vaccination. There was no positive test result for SARS-CoV2 and he had no SARS-CoV2 antibodies at the time of vaccination. No follow-up attempts possible. No further information expected. ; Reported Cause(s) of Death: unexplained death; Found dead at home


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